Simultaneous imaging of cardiac perfusion and a vitronectin receptor targeted imaging agent

ABSTRACT

The present invention describes a method of concurrent imaging in a mammal comprising:
         a) administering to said mammal a vitronectin receptor targeted imaging agent and a perfusion imaging agent; and   b) concurrently detecting the vitronectin receptor targeted imaging agent bound at the vitronectin receptor and the perfusion imaging agent; and   c) forming an image from the detection of said vitronectin targeted imaging agent and said perfusion imaging agent.

This application claims the benefit of U.S. Provisional Application No. 60/310,859, filed Aug. 8, 2001, hereby incorporated by reference.

FIELD OF THE INVENTION

The present invention provides novel pharmaceuticals useful for the diagnosis of cancer and methods of imaging tumors in a patient. Also, the present invention provides for novel dual imaging methods utilizing a vitronectin receptor targeted imaging agent in combination with a perfusion imaging agent, such as cardiac or brain perfusion agents. The combination of imaging agents in a simultaneous dual isotope imaging method of this invention is useful for the concurrent imaging of organ blood flow and sites of αvβ₃ upregulation. An increase in αvβ₃ expression is often associated with diseases such as cancer, atherosclerosis or smooth muscle cell proliferation in areas of vascular injury or may result from pro-angiogenic treatments in the heart, brain or peripheral vasculature.

The invention is further directed to novel pharmaceutical compositions and combination therapy comprising a compound of the invention or a pharmaceutically acceptable salt thereof, and at least one agent selected from the group consisting of a chemotherapeutic agent and a radiosensitizer agent. The present invention also provides novel pharmaceuticals useful for monitoring therapeutic angiogenesis treatment and destruction of new angiogenic vasculature. The pharmaceuticals are comprised of a targeting moiety that binds to a receptor that is upregulated during angiogenesis, an optional linking group, and a therapeutically effective radioisotope or diagnostically effective imageable moiety. The therapeutically effective radioisotope emits a particle or electron sufficient to be cytotoxic. The imageable moiety is a gamma ray or positron emitting radioisotope, a magnetic resonance imaging contrast agent, an X-ray contrast agent, or an ultrasound contrast agent.

BACKGROUND OF THE INVENTION

Cancer is a major public health concern in the United States and around the world. It is estimated that over 1 million new cases of invasive cancer will be diagnosed in the United States in 1998. The most prevalent forms of the disease are solid tumors of the lung, breast, prostate, colon and rectum. Cancer is typically diagnosed by a combination of in vitro tests and imaging procedures. The imaging procedures include X-ray computed tomography, magnetic resonance imaging, ultrasound imaging and radionuclide scintigraphy. Frequently, a contrast agent is administered to the patient to enhance the image obtained by X-ray CT, MRI and ultrasound, and the administration of a radiopharmaceutical that localizes in tumors is required for radionuclide scintigraphy.

Despite the variety of imaging procedures available for the diagnosis of cancer, there remains a need for improved methods. In particular, methods that can better differentiate between cancer and other pathologic conditions or benign physiologic abnormalities are needed. One means of achieving this desired improvement would be to administer to the patient a metallopharmaceutical that localizes specifically in the tumor by binding to a receptor expressed only in tumors or expressed to a significantly greater extent in tumors than in other tissue. The location of the metallopharmaceutical could then be detected externally either by its imageable emission in the case of certain radiopharmaceuticals or by its effect on the relaxation rate of water in the immediate vicinity in the case of magnetic resonance imaging contrast agents.

Previous efforts to achieve these desired improvements in cancer imaging and treatment have centered on the use of radionuclide labeled monoclonal antibodies, antibody fragments and other proteins or polypeptides that bind to tumor cell surface receptors. The specificity of these radiopharmaceuticals is frequently very high, but they suffer from several disadvantages. First, because of their high molecular weight, they are generally cleared from the blood stream very slowly, resulting in a prolonged blood background in the images. Also, due to their molecular weight they do not extravasate readily at the site of the tumor and then only slowly diffuse through the extravascular space to the tumor cell surface. This results in a very limited amount of the radiopharmaceutical reaching the receptors and thus very low signal intensity in imaging.

Alternative approaches to cancer imaging have involved the use of small molecules, such as peptides, that bind to tumor cell surface receptors. An In-111 labeled somatostatin receptor binding peptide, In-111-DTPA-D-Phe¹-octeotide, is in clinical use in many countries for imaging tumors that express the somatostatin receptor (Baker, et al. Life Sci., 1991, 49, 1583–91 and Krenning, et al., Eur. J. Nucl. Med., 1993, 20, 716–31). Higher doses of this radiopharmaceutical have been investigated for potential treatment of these types of cancer (Krenning, et al., Digestion, 1996, 57, 57–61). Several groups are investigating the use of Tc-99m labeled analogs of In-111-DTPA-D-Phe¹-octeotide for imaging and Re-186 labeled analogs for therapy (Flanagan, et al., U.S. Pat. No. 5,556,939, Lyle, et al., U.S. Pat. No. 5,382,654, and Albert et al., U.S. Pat. No. 5,650,134).

Angiogenesis is the process by which new blood vessels are formed from pre-existing capillaries or post capillary venules; it is an important component of a variety of physiological processes including ovulation, embryonic development, wound repair, and collateral vascular generation in the myocardium. It is also central to a number of pathological conditions such as tumor growth and metastasis, diabetic retinopathy, and macular degeneration. The process begins with the activation of existing vascular endothelial cells in response to a variety of cytokines and growth factors. Tumor released cytokines or angiogenic factors stimulate vascular endothelial cells by interacting with specific cell surface receptors for the factors. The activated endothelial cells secrete enzymes that degrade the basement membrane of the vessels. The endothelial cells then proliferate and invade into the tumor tissue. The endothelial cells differentiate to form lumens, making new vessel offshoots of pre-existing vessels. The new blood vessels then provide nutrients to the tumor permitting further growth and a route for metastasis.

Under normal conditions, endothelial cell proliferation is a very slow process, but it increases for a short period of time during embryogenesis, ovulation and wound healing. This temporary increase in cell turnover is governed by a combination of a number of growth stimulatory factors and growth suppressing factors. In pathological angiogenesis, this normal balance is disrupted resulting in continued increased endothelial cell proliferation. Some of the proangiogenic factors that have been identified include basic fibroblast growth factor (bFGF), angiogenin, TGF-alpha, TGF-beta, and vascular endothelium growth factor (VEGF). While interferon-alpha, interferon-beta and thrombospondin are examples of angiogenesis suppressors.

The proliferation and migration of endothelial cells in the extracellular matrix is mediated by interaction with a variety of cell adhesion molecules (Folkman, J., Nature Medicine , 1995, 1, 27–31). Integrins are a diverse family of heterodimeric cell surface receptors by which endothelial cells attach to the extracellular matrix, each other and other cells. The integrin α_(v)β₃ is a receptor for a wide variety for a wide variety of extracellular matrix proteins with an exposed tripeptide Arg-Gly-Asp moiety and mediates cellular adhesion to its ligand: vitronectin, fibronectin, and fibrinogen, among others. The integrin α_(v)β₃ is minimally expressed on normal blood vessels, but is significantly upregulated on vascular cells within a variety of human tumors. The role of the α_(v)β₃ receptors is to mediate the interaction of the endothelial cells and the extracellular matrix and facilitate the migration of the cells in the direction of the angiogenic signal, the tumor cell population. Angiogenesis induced by bFGF or TNF-alpha depend on the agency of the integrin α_(v)β₃, while angiogenesis induced by VEGF depends on the integrin α_(v)β₃ (Cheresh et. al., Science, 1955, 270, 1500–2). Induction of expression of the integrins α₁β₁ and α₂β₁ on the endothelial cell surface is another important mechanism by which VEGF promotes angiogenesis (Senger, et. al., Proc. Natl. Acad, Sci USA, 1997, 84, 13612–7).

Angiogenic factors interact with endothelial cell surface receptors such as the receptor tyrosine kinases EGFR, FGFR, PDGFR, Flk-1/KDR, Flt-1, Tek, tie, neuropilin-1, endoglin, endosialin, and Axl. The receptors Flk-1/KDR, neuropilin-1, and Flt-1 recognize VEGF and these interactions play key roles in VEGF-induced angiogenesis. The Tie subfamily of receptor tyrosine kinases are also expressed prominently during blood vessel formation.

Thus, it is desirable to provide tumor or new vasculature imaging agents which do not suffer from poor diffusion or transportation, possible immunologic toxicity, limited availability, and/or a lack of specificity.

The detection, imaging and diagnosis of a number of cardiovascular diseases need to be improved, including restenosis, atherosclerosis, myocardial reperfusion injury, and myocardial ischemia, stunning or infarction. It has recently been determined that in all of these disease conditions, the integrin receptor αvβ3 plays an important role.

For example, in the restenosis complication that occurs in ˜30–50% of patients having undergone angioplasty or stent placement, neointimal hyperplasia and ultimate reocclusion is caused by aggressively proliferating vascular smooth muscle cells that express αvβ3. (Cardiovascular Res., 1997, 36, 408–428; DDT, 1997, 2, 187–199; Current Pharm. Design, 1997, 3, 545–584)

Atherosclerosis proceeds from an initial endothelial damage that results in the recruitment and subintimal migration of monocytes at the site of the injury. Growth factors are released which induce medial smooth muscle cells to proliferate and migrate to the intimal layer. The migrating smooth muscle cells express αvβ3.

In reperfusion injury, neutrophil transmigration is integrin dependent and the integrins moderate initial infiltration into the viable border zone. The induction of α5β1, α4β1 and αvβ5 in infiltrating neutrophils occurs within 3 to 5 hours after reperfusion as neutrophils move from the border zone to the area of necrosis. (Circulation, 1999, 100, I-275)

Acute or chronic occlusion of a coronary artery is known to result in angiogenesis in the heart as native collateral vessels are recruited to attempt to relieve the ischemia. However, even a gradual occlusion usually results in areas of infarction as the resulting angiogenesis is not sufficient to prevent damage. Cardiac angiogenesis has been associated with increased expression of the growth factors VEGF and FGF and the upregulation of the growth factor receptors flt-1 and flk-1/KDR. (Drugs, 1999, 58, 391–396).

SUMMARY OF THE INVENTION

It is one object of the present invention to provide a combination of imaging agents in a simultaneous dual imaging method for the concurrent imaging of organ blood flow and sites of αvβ₃ upregulation.

It is another object of the present invention to provide a combination of imaging agents in a simultaneous dual isotope imaging method for the concurrent imaging of organ blood flow and sites of αvβ₃ upregulation.

It is another object of the present invention to provide diagnostic pharmaceuticals, comprised of a targeting moiety that binds to the vitronectin receptor that is expressed in tumor neovasculature, an optional linking group, and an imaging moiety (e.g., an x-ray imaging moiety, an ultrasound imaging moiety or a MRI imaging moiety). The vitronectin receptor binding compounds target the imaging moiety to the tumor neovasculature.

The pharmaceuticals of the present invention may be used for diagnostic purposes. Diagnostic radiopharmaceuticals of the present invention include pharmaceuticals comprised of a diagnostically useful radionuclide (i.e., a radioactive metal ion that has imageable gamma ray or positron emissions), or ultrasound imaging moiety.

The pharmaceuticals comprising a gamma ray or positron emitting radioactive metal ion are useful for imaging tumors and by gamma scintigraphy or positron emission tomography. The pharmaceuticals comprising a gamma ray or positron emitting radioactive metal ion are also useful for imaging therapeutic angiogenesis, natural angiogenic processes in response to acute or chronic coronary vessel occlusion, restenosis post-angioplasty, atherosclerosis and plaque formation, and reperfusion injury by gamma scintigraphy or positron emission tomography. The pharmaceuticals comprising a paramagnetic metal ion are useful as magnetic resonance imaging contrast agents. The pharmaceuticals comprising one or more X-ray absorbing or “heavy” atoms of atomic number 20 or greater are useful as X-ray contrast agents. The pharmaceuticals comprising a microbubble of a biocompatible gas, a liquid carrier, and a surfactant microsphere, are useful as ultrasound contrast agents.

DETAILED DESCRIPTION OF THE INVENTION

[1] Thus, in a first embodiment, the present invention provides a method of concurrent imaging in a mammal comprising:

-   -   a) administering to said mammal a vitronectin receptor targeted         imaging agent and a perfusion imaging agent; and     -   b) concurrently detecting the vitronectin receptor targeted         imaging agent bound at the vitronectin receptor and the         perfusion imaging agent; and     -   c) forming an image from the detection of said vitronectin         targeted imaging agent and said perfusion imaging agent.

[2] In another embodiment, the present invention provides a method of embodiment [1], wherein the vitronectin receptor is selected from the group: α_(v)β₃ and α_(v)β₅.

[3] In another embodiment, the present invention provides a method of embodiment [1], wherein the vitronectin receptor is α_(v)β₃.

[4] In another embodiment, the present invention provides a method of embodiment [1], wherein the vitronectin receptor targeted imaging agent is a diagnostic metallopharmaceutical.

[5] In another embodiment, the present invention provides a method of embodiment [4], wherein the diagnostic metallopharmaceutical comprises a diagnostic metal and a compound, wherein the compound comprises:

-   a) a chelator capable of chelating the metal; -   b) a targeting moiety, wherein the targeting moiety is bound to the     chelator; and -   c) 0–1 linking groups between the targeting moiety and the chelator; -   wherein the targeting moiety is an non-peptide quinolone which binds     to a vitronectin receptor selected from the group consisting of     α_(v)β₃, and α_(v)β₅.

[6] In another embodiment, the present invention provides a method of embodiment [5], wherein compound is of the formula (I): (Q)_(d)-L_(n)-C_(h) or (Q)_(d)-L_(n)-(C_(h))_(d′)  (I) wherein, Q is a compound of Formula (II):

including stereoisomeric forms thereof, or mixtures of stereoisomeric forms thereof, or pharmaceutically acceptable salt or prodrug forms thereof wherein:

-   R^(1e) is selected from:

-   A^(e) is —CH₂— or —N(R^(10e))—; -   A^(1e) and B^(e) are independently —CH₂— or —N(R^(10e))—; -   D^(e) is —N(R^(10e))— or —S—; -   E^(e)–F^(e) is —C(R^(2e))═C(R^(3e))— or —C(R^(2e))₂C(R^(3e))₂—; -   J^(e) is —C(R^(2e))— or —N—; -   K^(e), L^(e) and M^(e) are independently —C(R^(2e))— or —C(R^(3e))—; -   R^(2e) and R^(3e) are independently selected from:     -   H, C₁–C₄ alkoxy, NR^(11e)R^(12e), halogen, NO₂, CN, CF₃, C₁–C₆         alkyl, C₃–C₆ alkenyl, C₃–C₇ cycloalkyl, C₃–C₇ cycloalkyl(C₁–C₄         alkyl), aryl(C₁–C₆ alkyl)-, (C₁–C₆ alkyl)carbonyl, (C₁–C₆         alkoxy)carbonyl, arylcarbonyl, and aryl substituted with 0–4         R^(7e),     -   alternatively, when R^(2e) and R^(3e) are substituents on         adjacent atoms, they can be taken together with the carbon atoms         to which they are attached to form a 5–7 membered carbocyclic or         5–7 membered heterocyclic aromatic or nonaromatic ring system,         said carbocyclic or heterocyclic ring being substituted with 0–2         groups selected from C₁–C₄ alkyl, C₁–C₄ alkoxy, halo, cyano,         amino, CF₃ and NO₂; -   R^(2ae) is selected from:     -   H, C₁–C₁₀ alkyl, C₂–C₆ alkenyl, C₃–C₁₁ cycloalkyl, C₃–C₇         cycloalkyl(C₁–C₄ alkyl), aryl, aryl(C₁–C₄ alkyl)-, (C₂–C₇         alkyl)carbonyl, arylcarbonyl, (C₂–C₁₀ alkoxy)carbonyl, C₃–C₇         cycloalkoxycarbonyl, C₇–C₁₁ bicycloalkoxycarbonyl,         aryloxycarbonyl, aryl(C₁–C₁₀ alkoxy)carbonyl, C₁–C₆         alkylcarbonyloxy(C₁–C₄ alkoxy)carbonyl, arylcarbonyloxy(C₁–C₄         alkoxy)carbonyl, and C₃–C₇ cycloalkylcarbonyloxy(C₁–C₄         alkoxy)carbonyl; -   R^(7e) is selected from:     -   H, hydroxy, C₁–C₄ alkyl, C₁–C₄ alkoxy, aryl, aryl(C₁–C₄ alkyl)-,         (C₁–C₄ alkyl)carbonyl, CO₂R^(18ae), SO₂R^(11e),         SO₂NR^(10e)R^(11e), OR^(10e), and N(R^(11e))R^(12e); -   U^(e) is selected from:     -   —(CH₂)_(n) ^(e)—, —(CH₂)_(n) ^(e)O(CH₂)_(m) ^(e)—, —(CH₂)_(n)         ^(e)N(R¹²)(CH₂)_(m) ^(e)—, —NH(CH₂)_(n) ^(e)—, —(CH₂)_(n)         ^(e)C(═O) (CH₂)_(m) ^(e)—, —(CH₂)_(n) ^(e)S(O)_(p) ^(e)(CH₂)_(m)         ^(e)—, —(CH₂)_(n) ^(e)NHNH(CH₂)_(m) ^(e)—, —N(R^(10e))C(═O)—,         —NHC(═O)(CH₂)_(n) ^(e)—, —C(═O)N(R^(10e))—, and         —N(R^(10e))S(O)_(p) ^(e)—; -   G^(e) is N or CR^(19e); -   W^(e) is —C(═O)—N(R^(10e))—(C₁–C₃ alkylene)-, in which the alkylene     group is substituted by R^(8e) and by R^(9e): -   R^(8e) and R^(9e) are independently selected from:     -   H, CO₂R^(18be), C(═O)R^(18be), CONR¹⁷R^(18be),     -   C₁–C₁₀ alkyl substituted with 0–1 R^(6e),     -   C₂–C₁₀ alkenyl substituted with 0–1 R^(6e),     -   C₂–C₁₀ alkynyl substituted with 0–1 R^(6e),     -   C₃–C₈ cycloalkyl substituted with 0–1 R^(6e),     -   C₅–C₆ cycloalkenyl substituted with 0–1 R^(6e),     -   (C₁–C₁₀ alkyl)carbonyl,     -   C₃–C₁₀ cycloalkyl(C₁–C₄ alkyl)-,     -   phenyl substituted with 0–3 R^(6e),     -   naphthyl substituted with 0–3 R^(6e),     -   a 5–10 membered heterocyclic ring containing 1–3 N, O, or S         heteroatoms, wherein said heterocyclic ring may be saturated,         partially saturated, or fully unsaturated, said heterocyclic         ring being substituted with 0–2 R^(7e),     -   C₁–C₁₀ alkoxy substituted with 0–2 R^(7e),     -   hydroxy, nitro, —N(R^(10e))R^(11e), —N(R^(16e))R^(17e),         aryl(C₀–C₆ alkyl)carbonyl, aryl(C₃–C₆ alkyl), heteroaryl(C₁–C₆         alkyl), CONR^(18ae)R^(20e), SO₂R^(18ae), and         SO₂NR^(18ae)R^(20e),     -   providing that any of the above alkyl, cycloalkyl, aryl or         heteroaryl groups may be unsubstituted or substituted         independently with 1–2 R^(7e); -   R^(6e) is selected from:     -   H, C₁–C₁₀ alkyl, hydroxy, C₁–C₁₀ alkoxy, nitro, C₁–C₁₀         alkylcarbonyl, —N(R^(11e))R^(12e), cyano, halo, CF₃, CHO,         CO₂R^(18be), C(═O)R^(18be), CONR^(17e)R^(18be), OC(═O)R^(10e),         OR^(10e), OC(═O)NR^(10e)R^(11e), NR^(10e)C(═O)R^(10e),         NR^(10e)C(═O)OR^(21e), NR^(10e)C(═O)NR^(10e)R^(11e),         NR^(10e)SO₂NR^(10e)R^(11e), NR^(10e)SO₂R^(21e), S(O)_(p)R^(11e),         SO₂NR^(10e)R^(11e),     -   aryl substituted with 0–3 groups selected from halogen, C₁–C₆         alkoxy, C₁–C₆ alkyl, CF₃, S(O)_(m) ^(e)Me, and —NMe₂,     -   aryl(C₁–C₄ alkyl)-, said aryl being substituted with 0–3 groups         selected from halogen, C₁–C₆ alkoxy, C₁–C₆ alkyl, CF₃, S(O)_(p)         ^(e)Me, and —NMe₂, and         a 5–10 membered heterocyclic ring containing 1–3 N, O, or S         heteroatoms, wherein said heterocyclic ring may be saturated,         partially saturated, or fully unsaturated, said heterocyclic         ring being substituted with 0–2 R^(7e); -   R^(10e) is selected from:     -   H, —OH, CF₃, C₃–C₆ alkenyl, C₃–C₁₁ cycloalkyl, aryl, (C₃–C₁₁         cycloalkyl)methyl, aryl(C₁–C₄ alkyl), and C₁–C₁₀ alkyl         substituted with 0–2 R^(6e); -   R^(11e) is selected from:     -   H, hydroxy, C₁–C₈ alkyl, C₃–C₆ alkenyl, C₃–C₁₁ cycloalkyl,         (C₃–C₁₁ cycloalkyl)methyl, C₁–C₆ alkoxy, benzyloxy, aryl,         heteroaryl, heteroaryl(C₁–C₄ alkyl)-, aryl(C₁–C₄ alkyl),         adamantylmethyl, and C₁–C₁₀ alkyl substituted with 0–2 R^(4e); -   R^(4e) is selected from:     -   H, C₁–C₆ alkyl, C₃–C₇ cycloalkyl, C₃–C₇ cycloalkyl(C₁–C₄         alkyl)-, (C₁–C₁₀ alkyl)carbonyl, aryl, heteroaryl, aryl(C₁–C₆         alkyl)-, and heteroaryl(C₁–C₆ alkyl)-, wherein said aryl or         heteroaryl groups are substituted with 0–2 substituents         independently selected from the group consisting of C₁–C₄ alkyl,         C₁–C₄ alkoxy, F, Cl, Br, CF₃, and NO₂, -   alternatively, when R^(10e) and R^(11e) are both substituents on the     same nitrogen atom (as in —NR^(10e)R^(11e)) they may be taken     together with the nitrogen atom to which they are attached to form a     heterocycle selected from: 3-azabicyclononyl,     1,2,3,4-tetrahydro-1-quinolinyl, 1,2,3,4-tetrahydro-2-isoquinolinyl,     1-piperidinyl, 1-morpholinyl, 1-pyrrolidinyl, thiamorpholinyl,     thiazolidinyl, and 1-piperazinyl;     -   said heterocycle being substituted with 0–3 groups selected         from: C₁–C₆ alkyl, aryl, heteroaryl, aryl(C₁–C₄ alkyl)-, (C₁–C₆         alkyl)carbonyl, (C₃–C₇ cycloalkyl)carbonyl, (C₁–C₆         alkoxy)carbonyl, aryl(C₁–C₄ alkoxy)carbonyl, C₁–C₆         alkylsulfonyl, and arylsulfonyl; -   R^(12e) is selected from:     -   H, C₁–C₆ alkyl, triphenylmethyl, methoxymethyl,         methoxyphenyldiphenylmethyl, trimethylsilylethoxymethyl, (C₁–C₆         alkyl)carbonyl, (C₁–C₆ alkoxy)carbonyl, (C₃–C₆         alkyl)aminocarbonyl, C₃–C₆ alkenyl, C₃–C₇ cycloalkyl, C₃–C₇         cycloalkyl(C₁–C₄ alkyl)-, aryl, heteroaryl(C₁–C₆ alkyl)carbonyl,         heteroarylcarbonyl, aryl(C₁–C₆ alkyl)-, (C₁–C₆ alkyl)carbonyl,         arylcarbonyl, C₁–C₆ alkylsulfonyl, arylsulfonyl, aryl(C₁–C₆         alkyl)sulfonyl, heteroarylsulfonyl, heteroaryl(C₁–C₆         alkyl)sulfonyl, aryloxycarbonyl, and aryl(C₁–C₆ alkoxy)carbonyl,         wherein said aryl groups are substituted with 0–2 substituents         selected from the group consisting of C₁–C₄ alkyl, C₁–C₄ alkoxy,         halo, CF₃, and nitro; -   R^(16e) is selected from:     -   —C(═O)OR^(18ae), —C(═O)R^(18be), —C(═O)N(R^(18be))₂,         —C(═O)NHSO₂R^(18ae), —C(═O)NHC(═O)R^(18be),         —C(═O)NHC(═O)OR^(18ae), —C(═O)NHSO₂NHR^(18be), —SO₂R^(18ae),         —SO₂N(R^(18be))₂, and —SO₂NHC(═O)OR^(18be); -   R^(17e) is selected from:     -   H, C₁–C₆ alkyl, C₃–C₇ cycloalkyl, C₃–C₇ cycloalkyl(C₁–C₄         alkyl)-, aryl, aryl(C₁–C₆ alkyl)-, and heteroaryl(C₁–C₆ alkyl); -   R^(18ae) is selected from:     -   C₁–C₈ alkyl optionally substituted with a bond to L_(n), C₃–C₁₁         cycloalkyl optionally substituted with a bond to L_(n),         aryl(C₁–C₆ alkyl)- optionally substituted with a bond to L_(n),         heteroaryl(C₁–C₆ alkyl)- optionally substituted with a bond to         L_(n), (C₁–C₆ alkyl)heteroaryl optionally substituted with a         bond to L_(n), biaryl(C₁–C₆ alkyl) optionally substituted with a         bond to L_(n), biaryl optionally substituted with a bond to         L_(n), heteroaryl optionally substituted with a bond to L_(n),         phenyl substituted with 3–4 R^(19e) and optionally substituted         with a bond to L_(n), naphthyl substituted with 0–4 R^(19e) and         optionally substituted with a bond to L_(n), and a bond to         L_(n), wherein said aryl or heteroaryl groups are optionally         substituted with 0–4 R^(19e); -   R^(18be) is H or R^(18ae); -   R^(19e) is selected from:     -   H, halogen, CF₃, CO₂H, CN, NO₂, —NR^(11e)R^(12e), OCF₃, C₁–C₈         alkyl, C₂–C₆ alkenyl, C₂–C₆ alkynyl, C₃–C₁₁ cycloalkyl, C₃–C₇         cycloalkyl(C₁–C₄ alkyl)-, aryl(C₁–C₆ alkyl)-, C₁–C₆ alkoxy,         C₁–C₄ alkoxycarbonyl, aryl, aryl-O-, aryl-SO₂-, heteroaryl, and         heteroaryl-SO₂—, wherein said aryl and heteroaryl groups are         substituted with 0–4 groups selected from hydrogen, halogen,         CF₃, C₁–C₃ alkyl, and C₁–C₃ alkoxy; -   R^(20e) is selected from:     -   hydroxy, C₁–C₁₀ alkyloxy, C₃–C₁₁ cycloalkyloxy, aryloxy,         aryl(C₁–C₄ alkyl)oxy,     -   C₂–C₁₀ alkylcarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₂–C₁₀ alkoxycarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₂–C₁₀ alkoxycarbonyl(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkylcarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkoxycarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkoxycarbonyl(C₁–C₂ alkyl)oxy-,         aryloxycarbonyl(C₁–C₂ alkyl)oxy-, aryloxycarbonyloxy(C₁–C₂         alkyl)oxy-, arylcarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₁–C₅ alkoxy(C₁–C₅ alkyl)carbonyloxy(C₁–C₂ alkyl)oxy,     -   (5-(C₁–C₅ alkyl)-1,3-dioxa-cyclopenten-2-one-yl)methyloxy,     -   (5-aryl-1,3-dioxa-cyclopenten-2-one-yl)methyloxy, and     -   (R^(10e))(R^(11e))N—(C₁–C₁₀ alkoxy)-; -   R^(21e) is selected from:     -   C₁–C₈ alkyl, C₂–C₆ alkenyl, C₃–C₁₁ cycloalkyl, (C₃–C₁₁         cycloalkyl)methyl, aryl, aryl(C₁–C₄ alkyl)-, and C₁–C₁₀ alkyl         substituted with 0–2 R^(7e); -   R^(22e) is selected from:     -   —C(═O)—R^(18be), —C(═O)N(R^(18be))₂, —C(═O)NHSO₂R^(18ae),         —C(═O)NHC(═O)R^(18be), —C(═O)NHC(═O)OR^(18ae), and         —C(═O)NHSO₂NHR^(18be); -   Y^(e) is selected from:     -   —COR^(20e), —SO₃H, —PO₃H, —CONHNHSO₂CF₃, —CONHSO₂R^(18ae),         —CONHSO₂NHR^(18be), —NHCOCF₃, —NHCONHSO₂R^(18ae),         —NHSO₂R^(18ae), —OPO₃H₂, —OSO₃H, —PO₃H₂, —SO₂NHCOR^(18ae),         —SO₂NHCO₂R^(13ae),

-   m^(e) is 0–2; -   n^(e) is 0–4; -   p^(e) is 0–2; -   r^(e) is 0–2; -   with the following proviso: n^(e) and m^(e) are chosen such that the     number of atoms connecting R^(1e) and Y^(e) is in the range of 8–14; -   d is selected from 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10; -   d′ is 1–100; -   L_(n) is a linking group having the formula:     ((W)_(h)—(CR⁶R⁷)_(g))_(x)-(Z)_(k)-((CR^(6a)R^(7a))_(g′)—(W)_(h′))_(x′); -   W is independently selected at each occurrence from the group: O, S,     NH, NHC(═O), C(═O)NH, NR⁸C(═O), C(═O)N R⁸, C(═O), C(═O)O, OC(═O),     NHC(═S)NH, NHC(═O)NH, SO₂, SO₂NH, (OCH₂CH₂)_(s), (CH₂CH₂O)_(s′),     (OCH₂CH₂CH₂)_(s″), (CH₂CH₂CH₂O)_(t), and (aa)_(t′); -   aa is independently at each occurrence an amino acid; -   Z is selected from the group: aryl substituted with 0–3 R¹⁰, C₃₋₁₀     cycloalkyl substituted with 0–3 R¹⁰, and a 5–10 membered     heterocyclic ring system containing 1–4 heteroatoms independently     selected from N, S, and O and substituted with 0–3 R¹⁰; -   R⁶, R^(6a), R⁷, R^(7a), and R⁸ are independently selected at each     occurrence from the group: H, ═O, COOH, SO₃H, PO₃H, C₁–C₅ alkyl     substituted with 0–3 R¹⁰, aryl substituted with 0–3 R¹⁰, benzyl     substituted with 0–3 R¹⁰, and C₁–C₅ alkoxy substituted with 0–3 R¹⁰,     NHC(═O)R¹¹, C(═O)NHR¹¹, NHC(═O)NHR¹¹, NHR¹¹, R¹¹, and a bond to     C_(h); -   R¹⁰ is independently selected at each occurrence from the group: a     bond to C_(h), COOR¹¹, C(═O)NHR¹¹, NHC(═O)R¹¹, OH, NHR¹¹, SO₃H,     PO₃H, —OPO₃H₂, —OSO₃H, aryl substituted with 0–3 R¹¹, C₁₋₅ alkyl     substituted with 0–1 R¹², C₁₋₅ alkoxy substituted with 0–1 R¹², and     a 5–10 membered heterocyclic ring system containing 1–4 heteroatoms     independently selected from N, S, and O and substituted with 0–3     R¹¹; -   R¹¹ is independently selected at each occurrence from the group: H,     —OPO₃H₂, —OSO₃H C₁₋₅ alkyl substituted with 0–1 R¹², aryl     substituted with 0–1 R¹², a 5–10 membered heterocyclic ring system     containing 1–4 heteroatoms independently selected from N, S, and O     and substituted with 0–1 R¹², C₃₋₁₀ cycloalkyl substituted with 0–1     R¹², polyalkylene glycol substituted with 0–1 R¹², C₁₋₅ alkyl     substituted with carbohydrate substituted with 0–1 R¹², cyclodextrin     substituted with 0–1 R¹², amino acid substituted with 0–1 R¹²,     polycarboxyalkyl substituted with 0–1 R¹², polyazaalkyl substituted     with 0–1 R¹², peptide substituted with 0–1 R¹², wherein the peptide     is comprised of 2–10 amino acids, C₁₋₅ alkyl substituted with     3,6-O-disulfo-B-D-galactopyranosyl, bis(phosphonomethyl)glycine, and     a bond to C_(h); -   R¹² is a bond to C_(h); -   k is selected from 0, 1, and 2; -   h is selected from 0, 1, and 2; -   h′ is selected from 0, 1, and 2; -   g is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10; -   g′ is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10; -   s is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10; -   s′ is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10; -   s″ is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10; -   t is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10; -   t′ is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10; -   x is selected from 0, 1, 2, 3, 4, 5, and 6; -   x′ is selected from 0, 1, 2, 3, 4, 5 and 6; -   C_(h) is a diagnostic metal bonding unit having a formula selected     from the group:

-   A¹, A², A³, A⁴, A⁵, A⁶, A⁷, and A⁸ are independently selected at     each occurrence from the group: NR¹³, NR¹³R¹⁴, S, SH, S(Pg), O, OH,     PR¹³, PR¹³R¹⁴, P(O)R¹⁵R¹⁶, and a bond to L_(n); -   E is a bond, CH, or a spacer group independently selected at each     occurrence from the group: C₁–C₁₀ alkyl substituted with 0–3 R¹⁷,     aryl substituted with 0–3 R¹⁷, C₃₋₁₀ cycloalkyl substituted with 0–3     R¹⁷, heterocyclo-C₁₋₁₀ alkyl substituted with 0–3 R¹⁷, wherein the     heterocyclo group is a 5–10 membered heterocyclic ring system     containing 1–4 heteroatoms independently selected from N, S, and O,     C₆₋₁₀ aryl-C₁₋₁₀ alkyl substituted with 0–3 R¹⁷, C₁₋₁₀ alkyl-C₆₋₁₀     aryl- substituted with 0–3 R¹⁷, and a 5–10 membered heterocyclic     ring system containing 1–4 heteroatoms independently selected from     N, S, and O and substituted with 0–3 R¹⁷; -   R¹³ and R¹⁴ are each independently selected from the group: a bond     to L_(n), hydrogen, C₁–C₁₀ alkyl substituted with 0–3 R¹⁷, aryl     substituted with 0–3 R¹⁷, C₁₋₁₀ cycloalkyl substituted with 0–3 R¹⁷,     heterocyclo-C₁₋₁₀ alkyl substituted with 0–3 R¹⁷, wherein the     heterocyclo group is a 5–10 membered heterocyclic ring system     containing 1–4 heteroatoms independently selected from N, S, and O,     C₆₋₁₀ aryl-C₁₋₁₀ alkyl substituted with 0–3 R¹⁷, C₁₋₁₀ alkyl-C₆₋₁₀     aryl- substituted with 0–3 R¹⁷, a 5–10 membered heterocyclic ring     system containing 1–4 heteroatoms independently selected from N, S,     and O and substituted with 0–3 R¹⁷, and an electron, provided that     when one of R¹³ or R¹⁴ is an electron, then the other is also an     electron; -   alternatively, R¹³ and R¹⁴ combine to form ═C(R²⁰)(R²¹); -   R¹⁵ and R¹⁶ are each independently selected from the group: a bond     to L_(n), —OH, C₁–C₁₀ alkyl substituted with 0–3 R¹⁷, C₁–C₁₀ alkyl     substituted with 0–3 R¹⁷, aryl substituted with 0–3 R¹⁷, C₃₋₁₀     cycloalkyl substituted with 0–3 R¹⁷, heterocyclo-C₁₋₁₀ alkyl     substituted with 0–3 R¹⁷, wherein the heterocyclo group is a 5–10     membered heterocyclic ring system containing 1–4 heteroatoms     independently selected from N, S, and O, C₆₋₁₀ aryl-C₁₋₁₀ alkyl     substituted with 0–3 R¹⁷, C₁₋₁₀ alkyl-C₆₋₁₀ aryl- substituted with     0–3 R¹⁷, and a 5–10 membered heterocyclic ring system containing 1–4     heteroatoms independently selected from N, S, and O and substituted     with 0–3 R¹⁷; -   R¹⁷ is independently selected at each occurrence from the group: a     bond to L_(n), ═O, F, Cl, Br, I, —CF₃, —CN, —CO₂R¹⁸, —C(═O)R¹⁸,     —C(═O)N(R¹⁸)₂, —CHO, —CH₂OR¹⁸, —OC(═O)R¹⁸, —OC(═O)OR^(18a), —OR¹⁸,     —OC(═O)N(R¹⁸)₂, —NR¹⁹C(═O)R¹⁸, —NR¹⁹C(═O)OR^(18a),     —NR¹⁹C(═O)N(R¹⁸)₂, —NR¹⁹SO₂N(R¹⁸)₂, —NR¹⁹SO₂R^(18a), —SO₃H,     —SO₂R^(18a), —SR¹⁸, —S(═O)R^(18a), —SO₂N(R¹⁸)₂, —N(R¹⁸)₂,     —NHC(═S)NHR¹⁸, ═NOR¹⁸, NO₂, —C(═O)NHOR¹⁸, —C(═O)NHNR¹⁸R^(18a),     —OCH₂CO₂H, 2-(1-morpholino)ethoxy, C₁–C₅ alkyl, C₂–C₄ alkenyl, C₃–C₆     cycloalkyl, C₃–C₆ cycloalkylmethyl, C₂–C₆ alkoxyalkyl, aryl     substituted with 0–2 R¹⁸, and a 5–10 membered heterocyclic ring     system containing 1–4 heteroatoms independently selected from N, S,     and O; -   R¹⁸, R^(18a), and R¹⁹ are independently selected at each occurrence     from the group: a bond to L_(n), H, C₁–C₆ alkyl, phenyl, benzyl,     C₁–C₆ alkoxy, halide, nitro, cyano, and trifluoromethyl; -   Pg is a thiol protecting group; -   R²⁰ and R²¹ are independently selected from the group:     -   H, C₁–C₁₀ alkyl, —CN, —CO₂R²⁵, —C(═O)R²⁵, —C(═O)N(R²⁵)₂, C₂–C₁₀         1-alkene substituted with 0–3 R²³, C₂–C₁₀ 1-alkyne substituted         with 0–3 R²³, aryl substituted with 0–3 R²³, unsaturated 5–10         membered heterocyclic ring system containing 1–4 heteroatoms         independently selected from N, S, and O and substituted with 0–3         R²³, and unsaturated C₃₋₁₀ carbocycle substituted with 0–3 R²³; -   alternatively, R²⁰ and R²¹, taken together with the divalent carbon     radical to which they are attached form:

-   R²² and R²³ are independently selected from the group:     -   H, R²⁴, C₁–C₁₀ alkyl substituted with 0–3 R²⁴, C₂–C₁₀ alkenyl         substituted with 0–3 R²⁴, C₂–C₁₀ alkynyl substituted with 0–3         R²⁴, aryl substituted with 0–3 R²⁴, a 5–10 membered heterocyclic         ring system containing 1–4 heteroatoms independently selected         from N, S, and O and substituted with 0–3 R²⁴, and C₃₋₁₀         carbocycle substituted with 0–3 R²⁴; -   alternatively, R²², R²³ taken together form a fused aromatic or a     5–10 membered heterocyclic ring system containing 1–4 heteroatoms     independently selected from N, S, and O; -   a and b indicate the positions of optional double bonds and n is 0     or 1; -   R²⁴ is independently selected at each occurrence from the group: ═O,     F, Cl, Br, I, —CF₃, —CN, —CO₂R²⁵, —C(═O)R²⁵, —C(═O)N(R²⁵)₂, —N(R²⁵)₃     ⁺, —CH₂OR²⁵, —OC(═O)R²⁵, —OC(═O)OR^(25a), —OR²⁵, —OC(═O)N(R²⁵)₂,     —NR²⁶C(═O)R²⁵, —NR²⁶C(═O)OR^(25a), —NR²⁶C(═O)N(R²⁵)₂,     —NR²⁶SO₂N(R²⁵)₂, —NR²⁶SO₂R^(25a), —SO₃H, —SO₂R^(25a), —SR²⁵,     —S(═O)R^(25a), —SO₂N(R²⁵)₂, —N(R²⁵)₂, ═NOR²⁵, —C(═O)NHOR²⁵,     —OCH₂CO₂H, and 2-(1-morpholino)ethoxy; and, -   R²⁵, R^(25a), and R²⁶ are each independently selected at each     occurrence from the group: hydrogen and C₁–C₆ alkyl; or a     pharmaceutically acceptable salt thereof.

[7] In another embodiment, the present invention provides a method of embodiment [6], wherein Q is a compound of Formula (IV):

including stereoisomeric forms thereof, or mixtures of stereoisomeric forms thereof, or pharmaceutically acceptable salt or prodrug forms thereof wherein:

-   R^(1e) is selected from:

-   R^(2e) and R^(3e) are independently selected from:     -   H, C₁–C₄ alkoxy, NR^(11e)R^(12e), halogen, NO₂, CN, CF₃, C₁–C₆         alkyl, C₃–C₆ alkenyl, C₃–C₇ cycloalkyl, C₃–C₇ cycloalkyl(C₁–C₄         alkyl), aryl(C₁–C₆ alkyl)-, (C₁–C₆ alkyl)carbonyl, (C₁–C₆         alkoxy)carbonyl, arylcarbonyl, and aryl substituted with 0–4         R^(7e),     -   alternatively, when R^(2e) and R^(3e) are substituents on         adjacent atoms, they can be taken together with the carbon atoms         to which they are attached to form a 5–7 membered carbocyclic or         5–7 membered heterocyclic aromatic or nonaromatic ring system,         said carbocyclic or heterocyclic ring being substituted with 0–2         groups selected from C₁–C₄ alkyl, C₁–C₄ alkoxy, halo, cyano,         amino, CF₃ and NO₂; -   R^(2ae) is selected from:     -   H, C₁–C₁₀ alkyl, C₂–C₆ alkenyl, C₃–C₁₁ cycloalkyl, C₃–C₇         cycloalkyl(C₁–C₄ alkyl), aryl, aryl(C₁–C₄ alkyl)-, (C₂–C₇         alkyl)carbonyl, arylcarbonyl, (C₂–C₁₀ alkoxy)carbonyl, C₃–C₇         cycloalkoxycarbonyl, C₇–C₁₁ bicycloalkoxycarbonyl,         aryloxycarbonyl, aryl(C₁–C₁₀ alkoxy)carbonyl, C₁–C₆         alkylcarbonyloxy(C₁–C₄ alkoxy)carbonyl, arylcarbonyloxy(C₁–C₄         alkoxy)carbonyl, and C₃–C₇ cycloalkylcarbonyloxy(C₁–C₄         alkoxy)carbonyl; -   R^(7e) is selected from:     -   H, hydroxy, C₁–C₄ alkyl, C₁–C₄ alkoxy, aryl, aryl(C₁–C₄ alkyl)-,         (C₁–C₄ alkyl)carbonyl, CO₂R^(18ae), SO₂R^(11e),         SO₂NR^(10e)R^(11e), OR^(10e), and N(R^(11e))R^(12e); -   U^(e) is selected from:     -   —(CH₂)_(n) ^(e)—, —(CH₂)_(n) ^(e)O(CH₂)_(m) ^(e)—, —NH(CH₂)_(n)         ^(e)—, —N(R^(10e))C(═O)—, —NHC(═O)(CH₂)_(n) ^(e)—, and         —C(═O)N(R^(10e))—; -   G^(e) is N or CR^(19e); -   R^(8e) is selected from:     -   H, CO₂R^(18be), C(═O)R^(18be), CONR^(17e)R^(18be),     -   C₁–C₁₀ alkyl substituted with 0–1 R^(6e),     -   C₂–C₁₀ alkenyl substituted with 0–1 R^(6e),     -   C₂–C₁₀ alkynyl substituted with 0–1 R^(6e),     -   C₃–C₈ cycloalkyl substituted with 0–1 R^(6e),     -   C₅–C₆ cycloalkenyl substituted with 0–1 R^(6e),     -   (C₁–C₁₀ alkyl)carbonyl,     -   C₃–C₁₀ cycloalkyl(C₁–C₄ alkyl)-,     -   phenyl substituted with 0–3 R^(6e),     -   naphthyl substituted with 0–3 R^(6e),     -   a 5–10 membered heterocyclic ring containing 1–3 N, O, or S         heteroatoms, wherein said heterocyclic ring may be saturated,         partially saturated, or fully unsaturated, said heterocyclic         ring being substituted with 0–2 R^(7e); -   R^(9e) is selected from:     -   C₁–C₁₀ alkyl substituted with 0–1 R^(6e),     -   C₁–C₁₀ alkoxy substituted with 0–2 R^(7e),     -   H, nitro, N(R^(11e))R^(12e), OC(═O)R^(10e), OR^(10e),         OC(═O)NR^(10e)R^(11e), NR^(10e)C(═O)R^(10e),         NR^(10e)C(═O)OR^(21e), NR^(10e)C(═O)NR^(10e)R^(11e),         NR^(10e)SO₂NR^(10e)R^(11e), NR^(10e)SO₂R^(21e), hydroxy,         OR^(22e), —N(R^(10e))R^(11e), —N(R^(16e))R^(17e), aryl(C₀–C₆         alkyl)carbonyl, aryl(C₁–C₆ alkyl), heteroaryl(C₁–C₆ alkyl),         CONR^(18ae)R^(20e), SO₂R^(18ae), and SO₂NR^(18ae)R^(20e),     -   providing that any of the above alkyl, cycloalkyl, aryl or         heteroaryl groups may be unsubstituted or substituted         independently with 1–2 R^(7e); -   R^(6e) is selected from:     -   H, C₁–C₁₀ alkyl, hydroxy, C₁–C₁₀ alkoxy, nitro, C₁–C₁₀         alkylcarbonyl, —N(R^(11e))R^(12e), cyano, halo, CF₃, CHO,         CO₂R^(18be), C(═O)R^(18be), CONR^(17e)R^(18be), OC(═O)R^(10e),         OR^(10e), OC(═O)NR^(10e)R^(11e), NR^(10e)C(═O)R^(10e),         NR^(10e)C(═O)OR^(21e), NR^(10e)C(═O)NR^(10e)R^(11e),         NR^(10e)SO₂NR^(10e)R^(11e), NR^(10e)SO₂R^(21e), S(O)_(p)         ^(e)R^(11e), SO₂NR^(10e)R^(11e),     -   aryl substituted with 0–3 groups selected from halogen, C₁–C₆         alkoxy, C₁–C₆ alkyl, CF₃, S(O)_(m) ^(e)Me, and —NMe₂,     -   aryl(C₁–C₄ alkyl)-, said aryl being substituted with 0–3 groups         selected from halogen, C₁–C₆ alkoxy, C₁–C₆ alkyl, CF₃, S(O)_(p)         ^(e)Me, and —NMe₂, and -   a 5–10 membered heterocyclic ring containing 1–3 N, O, or S     heteroatoms, wherein said heterocyclic ring may be saturated,     partially saturated, or fully unsaturated, said heterocyclic ring     being substituted with 0–2 R^(7e); -   R^(10e) is selected from:     -   H, —OH, CF₃, C₃–C₆ alkenyl, C₃–C₁₁ cycloalkyl, aryl, (C₃–C₁₁         cycloalkyl)methyl, aryl(C₁–C₄ alkyl), and C₁–C₁₀ alkyl         substituted with 0–2 R^(6e); -   R^(11e) is selected from:     -   H, hydroxy, C₁–C₈ alkyl, C₃–C₆ alkenyl, C₃–C₁₁ cycloalkyl,         (C₃–C₁₁ cycloalkyl)methyl, C₁–C₆ alkoxy, benzyloxy, aryl,         heteroaryl, heteroaryl(C₁–C₄ alkyl)-, aryl(C₁–C₄ alkyl),         adamantylmethyl, and C₁–C₁₀ alkyl substituted with 0–2 R^(4e); -   R^(4e) is selected from:     -   H, C₁–C₆ alkyl, C₃–C₇ cycloalkyl, C₃–C₇ cycloalkyl(C₁–C₄         alkyl)-, aryl, heteroaryl, aryl(C₁–C₆ alkyl)-, and         heteroaryl(C₁–C₆ alkyl)-, wherein said aryl or heteroaryl groups         are substituted with 0–2 substituents independently selected         from the group consisting of C₁–C₄ alkyl, C₁–C₄ alkoxy, F, Cl,         Br, CF₃, and NO₂, -   R^(12e) is selected from:     -   H, C₁–C₆ alkyl, triphenylmethyl, methoxymethyl,         methoxyphenyldiphenylmethyl, trimethylsilylethoxymethyl, (C₁–C₆         alkyl)carbonyl, (C₁–C₆ alkoxy)carbonyl, (C₁–C₆         alkyl)aminocarbonyl, C₃–C₆ alkenyl, C₃–C₇ cycloalkyl, C₃–C₇         cycloalkyl(C₁–C₄ alkyl)-, aryl, heteroaryl(C₁–C₆ alkyl)carbonyl,         heteroarylcarbonyl, aryl(C₁–C₆ alkyl)-, (C₁–C₆ alkyl)carbonyl,         arylcarbonyl, C₁–C₆ alkylsulfonyl, arylsulfonyl, aryl(C₁–C₆         alkyl)sulfonyl, heteroarylsulfonyl, heteroaryl(C₁–C₆         alkyl)sulfonyl, aryloxycarbonyl, and aryl(C₁–C₆ alkoxy)carbonyl,         wherein said aryl groups are substituted with 0–2 substituents         selected from the group consisting of C₁–C₄ alkyl, C₁–C₄ alkoxy,         halo, CF₃, and nitro; -   R^(16e) is selected from:     -   —C(═O)OR^(18ae), —C(═O)R^(18be), —C(═O)N(R^(18be))₂,         —SO₂R^(18ae), and —SO₂N(R^(18be))₂; -   R^(17e) is selected from:     -   H, C₁–C₆ alkyl, C₃–C₇ cycloalkyl, C₃–C₇ cycloalkyl(C₁–C₄         alkyl)-, aryl, aryl(C₁–C₆ alkyl)-, and heteroaryl(C₁–C₆ alkyl); -   R^(18ae) is selected from:     -   C₁–C₈ alkyl optionally substituted with a bond to L_(n), C₃–C₁₁         cycloalkyl optionally substituted with a bond to L_(n),         aryl(C₁–C₆ alkyl)- optionally substituted with a bond to L_(n),         heteroaryl(C₁–C₆ alkyl)- optionally substituted with a bond to         L_(n), (C₁–C₆ alkyl)heteroaryl optionally substituted with a         bond to L_(n), biaryl(C₁–C₆ alkyl) optionally substituted with a         bond to L_(n), heteroaryl optionally substituted with a bond to         L_(n), phenyl substituted with 3–4 R^(19e) and optionally         substituted with a bond to L_(n), naphthyl substituted with 0–4         R^(19e) and optionally substituted with a bond to L_(n), and a         bond to L_(n), wherein said aryl or heteroaryl groups are         optionally substituted with 0–4 R^(19e); -   R^(18be) is H or R^(18ae); -   R^(19e) is selected from:     -   H, halogen, CF₃, CO₂H, CN, NO₂, —NR^(11e)R^(12e), OCF₃, C₁–C₈         alkyl, C₂–C₆ alkenyl, C₂–C₆ alkynyl, C₃–C₁₁ cycloalkyl, C₃–C₇         cycloalkyl(C₁–C₄ alkyl)-, aryl(C₁–C₆ alkyl)-, C₁–C₆ alkoxy,         C₁–C₄ alkoxycarbonyl, aryl, aryl-O—, aryl-SO₂—, heteroaryl, and         heteroaryl-SO₂—, wherein said aryl and heteroaryl groups are         substituted with 0–4 groups selected from hydrogen, halogen,         CF₃, C₁–C₃ alkyl, and C₁–C₃ alkoxy; -   R^(20e) is selected from:     -   hydroxy, C₁–C₁₀ alkyloxy, C₃–C₁₁ cycloalkyloxy,     -   aryloxy, aryl(C₁–C₄ alkyl)oxy,     -   C₂–C₁₀ alkylcarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₂–C₁₀ alkoxycarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₂–C₁₀ alkoxycarbonyl(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkylcarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkoxycarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkoxycarbonyl(C₁–C₂ alkyl)oxy-,     -   aryloxycarbonyl(C₁–C₂ alkyl)oxy-,     -   aryloxycarbonyloxy(C₁–C₂ alkyl)oxy-,     -   arylcarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₁–C₅ alkoxy(C₁–C₅ alkyl)carbonyloxy(C₁–C₂ alkyl)oxy,     -   (5-(C₁–C₅ alkyl)-1,3-dioxa-cyclopenten-2-one-yl)methyloxy,     -   (5-aryl-1,3-dioxa-cyclopenten-2-one-yl)methyloxy, and     -   (R^(10e))(R^(11e))N—(C₁–C₁₀ alkoxy)-; -   R^(21e) is selected from:     -   C₁–C₈ alkyl, C₂–C₆ alkenyl, C₃–C₁₁ cycloalkyl, (C₃–C₁₁         cycloalkyl)methyl, aryl, aryl(C₁–C₄ alkyl)-, and C₁–C₁₀ alkyl         substituted with 0–2 R^(7e); -   R^(22e) is selected from:     -   —C(═O)—R^(18be), C(═O)N(R^(18be))₂, —C(═O)NHSO₂R^(18ae),         —C(═O)NHC(═O)R^(18be), —C(═O)NHC(═O)OR^(18ae), and         —C(═O)NHSO₂NHR^(18be); -   m^(e) is 0–2; -   n^(e) is 0–4; and -   p^(e) is 0–2; -   with the following proviso: n^(e) and m^(e) are chosen such that the     number of atoms connecting R¹ and —COR^(20e) in Formula (IV) is in     the range of 8–14; -   d is selected from 1, 2, 3, 4, and 5; -   d′ is 1–50; -   W is independently selected at each occurrence from the group: O,     NH, NHC(═O), C(═O)NH, NR⁸C(═O), C(═O)N R⁸, C(═O), C(═O)O, OC(═O),     NHC(═S)NH, NHC(═O)NH, SO₂, (OCH₂CH₂)_(s), (CH₂CH₂O)_(s′),     (OCH₂CH₂CH₂)_(s″), (CH₂CH₂CH₂O)_(t), and (aa)_(t′); -   aa is independently at each occurrence an amino acid; -   Z is selected from the group: aryl substituted with 0–1 R¹⁰, C₃₋₁₀     cycloalkyl substituted with 0–1 R¹⁰, and a 5–10 membered     heterocyclic ring system containing 1–4 heteroatoms independently     selected from N, S, and O and substituted with 0–1 R¹⁰; -   R⁶, R^(6a), R⁷, R^(7a), and R⁸ are independently selected at each     occurrence from the group: H, ═O, COOH, SO₃H, C₁–C₅ alkyl     substituted with 0–1 R¹⁰, aryl substituted with 0–1 R¹⁰, benzyl     substituted with 0–1 R¹⁰, and C₁–C₅ alkoxy substituted with 0–1 R¹⁰,     NHC(═O)R¹¹, C(═O)NHR¹¹, NHC(═O)NHR¹¹, NHR¹¹, R¹¹, and a bond to     C_(h); -   k is 0 or 1; -   s is selected from 0, 1, 2, 3, 4, and 5; -   s′ is selected from 0, 1, 2, 3, 4, and 5; -   s″ is selected from 0, 1, 2, 3, 4, and 5; -   t is selected from 0, 1, 2, 3, 4, and 5; -   A¹, A², A³, A⁴, A⁵, A⁶, A⁷, and A⁸ are independently selected at     each occurrence from the group: NR¹³, NR¹³R¹⁴, S, SH, S(Pg), OH, and     a bond to L_(n); -   E is a bond, CH, or a spacer group independently selected at each     occurrence from the group: C₁–C₁₀ alkyl substituted with 0–3 R¹⁷,     aryl substituted with 0–3 R¹⁷, C₃₋₁₀ cycloalkyl substituted with 0–3     R¹⁷, and a 5–10 membered heterocyclic ring system containing 1–4     heteroatoms independently selected from N, S, and O and substituted     with 0–3 R¹⁷; -   R¹³, and R¹⁴ are each independently selected from the group: a bond     to L_(n), hydrogen, C₁–C₁₀ alkyl substituted with 0–3 R¹⁷, aryl     substituted with 0–3 R¹⁷, a 5–10 membered heterocyclic ring system     containing 1–4 heteroatoms independently selected from N, S, and O     and substituted with 0–3 R¹⁷, and an electron, provided that when     one of R¹³ or R¹⁴ is an electron, then the other is also an     electron; -   alternatively, R¹³ and R¹⁴ combine to form ═C(R²⁰)(R²¹); -   R¹⁷ is independently selected at each occurrence from the group: a     bond to L_(n), ═O, F, Cl, Br, I, —CF₃, —CN, —CO₂R¹⁸, —C(═O)R¹⁸,     —C(═O)N(R¹⁸)₂, —CH₂OR¹⁸, —OC(═O)R¹⁸, OC(═O)OR^(18a), —OR¹⁸,     —OC(═O)N(R¹⁸)₂, —NR¹⁹C(═O)R¹⁸, —NR¹⁹C(═O)OR^(18a),     —NR¹⁹C(═O)N(R¹⁸)₂, —NR¹⁹SO₂N(R¹⁸)₂, —NR¹⁹SO₂R^(18a), —SO₃H,     —SO₂R^(18a), —S(═O)R^(18a), —SO₂N(R¹⁸)₂, —N(R¹⁸)₂, —NHC(═S)NHR¹⁸,     ═NOR¹⁸, —C(═O)NHNR¹⁸R^(18a), —OCH₂CO₂H, and 2-(1-morpholino)ethoxy; -   R¹⁸, R^(18a), and R¹⁹ are independently selected at each occurrence     from the group: a bond to L_(n), H, and C₁–C₆ alkyl; -   R²⁰ and R²¹ are independently selected from the group:     -   H, C₁–C₅ alkyl, —CO₂R²⁵, C₂–C₅ 1-alkene substituted with 0–3         R²³, C₂–C₅ 1-alkyne substituted with 0–3 R²³, aryl substituted         with 0–3 R²³, and unsaturated 5–10 membered heterocyclic ring         system containing 1–4 heteroatoms independently selected from N,         S, and O and substituted with 0–3 R²³; -   alternatively, R²⁰ and R²¹, taken together with the divalent carbon     radical to which they are attached form:

-   R²² and R²³ are independently selected from the group:     -   H, and R²⁴; -   alternatively, R²², R²³ taken together form a fused aromatic or a     5–10 membered heterocyclic ring system containing 1–4 heteroatoms     independently selected from N, S, and O; -   R²⁴ is independently selected at each occurrence from the group:     —CO₂R²⁵, —C(═O)N(R²⁵)₂, —CH₂OR²⁵, —OC(═O)R²⁵, —OR²⁵, —SO₃H,     —N(R²⁵)₂, and —OCH₂CO₂H; and, -   R²⁵ is independently selected at each occurrence from the group: H     and C₁–C₃ alkyl.

[8] In another embodiment, the present invention provides a method of embodiment [6] or [7], wherein:

-   R^(1e) is selected from:

-   R^(2e) and R^(3e) are independently selected from:     -   H, C₁–C₄ alkoxy, NR^(11e)R^(12e), halogen, NO₂, CN, CF₃, C₁–C₆         alkyl, C₃–C₆ alkenyl, C₃–C₇ cycloalkyl, C₃–C₇ cycloalkyl(C₁–C₄         alkyl), aryl(C₁–C₆ alkyl)-, (C₁–C₆ alkyl)carbonyl, (C₁–C₆         alkoxy)carbonyl, arylcarbonyl, and aryl substituted with 0–4         R^(7e),     -   alternatively, when R^(2e) and R^(3e) are substituents on         adjacent atoms, they can be taken together with the carbon atoms         to which they are attached to form a 5–7 membered carbocyclic or         5–7 membered heterocyclic aromatic or nonaromatic ring system,         said carbocyclic or heterocyclic ring being substituted with 0–2         groups selected from C₁–C₄ alkyl, C₁–C₄ alkoxy, halo, cyano,         amino, CF₃ and NO₂; -   R^(2ae) is selected from:     -   H, C₁–C₁₀ alkyl, C₂–C₆ alkenyl, C₃–C₁₁ cycloalkyl, C₃–C₇         cycloalkyl(C₁–C₄ alkyl), aryl, aryl(C₁–C₄ alkyl)-, (C₂–C₇         alkyl)carbonyl, arylcarbonyl, (C₂–C₁₀ alkoxy)carbonyl, C₃–C₇         cycloalkoxycarbonyl, C₇–C₁₁ bicycloalkoxycarbonyl,         aryloxycarbonyl, aryl(C₁–C₁₀ alkoxy)carbonyl, C₁–C₆         alkylcarbonyloxy(C₁–C₄ alkoxy)carbonyl, arylcarbonyloxy(C₁–C₄         alkoxy)carbonyl, and C₃–C₇ cycloalkylcarbonyloxy(C₁–C₄         alkoxy)carbonyl; -   R^(7e) is selected from:     -   H, hydroxy, C₁–C₄ alkyl, C₁–C₄ alkoxy, aryl, aryl(C₁–C₄ alkyl)-,         (C₁–C₄ alkyl)carbonyl, CO₂R^(18ae), SO₂R^(11e),         SO₂NR^(10e)R^(11e), OR^(10e), and N(R^(11e))R^(12e); -   U^(e) is selected from:     -   —(CH₂)_(n) ^(e)—, —NH(CH₂)_(n) ^(e)—, —N(R^(10e))C(═O)—, and     -   —NHC(═O)(CH₂)_(n) ^(e); -   G^(e) is N or CR^(19e); -   R^(8e) is H; -   R^(9e) is selected from:     -   H, nitro, N(R^(11e))R^(12e), OC(═O)R^(10e), OR^(10e),         OC(═O)NR^(10e)R^(11e), NR^(10e)C(═O)R^(10e),         NR^(10e)C(═O)OR^(21e), NR^(10e)C(═O)NR^(10e)R^(11e),         NR^(10e)SO₂NR^(10e)R^(11e), NR^(10e)SO₂R^(21e), hydroxy,         OR^(22e), —N(R^(10e))R^(11e), —N(R^(16e))R^(17e), aryl(C₀–C₄         alkyl)carbonyl, aryl(C₁–C₄ alkyl), heteroaryl(C₁–C₄ alkyl),         CONR^(18ae)R^(20e), SO₂R^(18ae), and SO₂NR^(18ae)R^(20e),     -   providing that any of the above alkyl, cycloalkyl, aryl or         heteroaryl groups may be unsubstituted or substituted         independently with 1–2 R^(7e); -   R^(10e) is selected from:     -   H, —OH, CF₃, C₃–C₆ alkenyl, C₃–C₆ cycloalkyl, aryl, (C₃–C₆         cycloalkyl)methyl, aryl(C₁–C₄ alkyl), and C₁–C₄ alkyl         substituted with 0–2 R^(6e); -   R^(6e) is selected from:     -   H, C₁–C₄ alkyl, hydroxy, C₁–C₄ alkoxy, nitro, C₁–C₄         alkylcarbonyl, —N(R^(11e))R^(12e), cyano, halo, CF₃, CHO,         CO₂R^(18be), C(═O)R^(18be), CONR^(17e)R^(18be), OC(═O)R^(10e),         OR^(10e), OC(═O)NR^(10e)R^(11e), NR^(10e)C(═O)R^(10e),         NR^(10e)C(═O)OR^(21e), NR^(10e)C(═O)NR^(10e)R^(11e),         NR^(10e)SO₂NR^(10e)R^(11e), NR^(10e)SO₂R^(21e), S(O)_(p)R^(11e),         SO₂NR^(10e)R^(11e),     -   aryl substituted with 0–3 groups selected from halogen, C₁–C₄         alkoxy, C₁–C₄ alkyl, CF₃, S(O)_(m) ^(e)Me, and —NMe₂,     -   aryl(C₁–C₄ alkyl)-, said aryl being substituted with 0–3 groups         selected from halogen, C₁–C₄ alkoxy, C₁–C₄ alkyl, CF₃, S(O)_(p)         ^(e)Me, and —NMe₂, and     -   a 5–10 membered heterocyclic ring containing 1–3 N, O, or S         heteroatoms, wherein said heterocyclic ring may be saturated,         partially saturated, or fully unsaturated, said heterocyclic         ring being substituted with 0–2 R^(7e); -   R^(11e) is selected from:     -   H, hydroxy, C₁–C₄ alkyl, C₃–C₆ alkenyl, C₃–C₆ cycloalkyl, (C₃–C₆         cycloalkyl)methyl, C₁–C₄ alkoxy, benzyloxy, aryl, heteroaryl,         heteroaryl(C₁–C₄ alkyl)-, aryl(C₁–C₄ alkyl), adamantylmethyl,         and C₁–C₄ alkyl substituted with 0–2 R^(4e); -   R^(4e) is selected from:     -   H, C₁–C₄ alkyl, C₃–C₇ cycloalkyl, C₃–C₇ cycloalkyl(C₁–C₄         alkyl)-, aryl, heteroaryl, aryl(C₁–C₄ alkyl)-, and         heteroaryl(C₁–C₄ alkyl)-, wherein said aryl or heteroaryl groups         are substituted with 0–2 substituents independently selected         from the group consisting of C₁–C₄ alkyl, C₁–C₄ alkoxy, F, Cl,         Br, CF₃, and NO₂, -   R^(12e) is selected from:     -   H, C₁–C₄ alkyl, (C₁–C₄ alkyl)carbonyl, (C₁–C₄ alkoxy)carbonyl,         phenyl(C₁–C₄ alkyl)-, phenylsulfonyl, phenyloxycarbonyl, and         phenyl(C₁–C₄ alkoxy)carbonyl, wherein said phenyl groups are         substituted with 0–2 substituents selected from the group         consisting of C₁–C₄ alkyl, C₁–C₄ alkoxy, halo, CF₃, and nitro; -   R^(16e) is selected from:     -   —C(═O)OR^(18ae) —C(═O)R^(18be), C(═O)N(R^(18be))₂, —SO₂R^(18ae),         and SO₂N(R^(18be))₂; -   R^(17e) is selected from:     -   H, C₁–C₄ alkyl, C₃–C₆ cycloalkyl, C₃–C₆ cycloalkyl(C₁–C₄         alkyl)-, aryl, aryl(C₁–C₆ alkyl)-, and heteroaryl(C₁–C₆ alkyl); -   R^(18ae) is selected from:     -   C₁–C₈ alkyl optionally substituted with a bond to L_(n), C₃–C₁₁         cycloalkyl optionally substituted with a bond to L_(n),         aryl(C₁–C₆ alkyl)- optionally substituted with a bond to L_(n),         heteroaryl(C₁–C₆ alkyl)- optionally substituted with a bond to         L_(n), (C₁–C₆ alkyl)heteroaryl optionally substituted with a         bond to L_(n), biaryl(C₁–C₆ alkyl) optionally substituted with a         bond to L_(n), heteroaryl optionally substituted with a bond to         L_(n), phenyl substituted with 3–4 R^(19e) and optionally         substituted with a bond to L_(n), naphthyl substituted with 0–4         R^(19e) and optionally substituted with a bond to L_(n), and a         bond to L_(n), wherein said aryl or heteroaryl groups are         optionally substituted with 0–4 R^(19e); -   R^(18be) is H or R^(18ae); -   R^(19e) is selected from:     -   H, halogen, CF₃, CO₂H, CN, NO₂, —NR^(11e)R^(12e), OCF₃, C₁–C₆         alkyl, C₂–C₆ alkenyl, C₂–C₆ alkynyl, C₃–C₆ cycloalkyl, C₃–C₆         cycloalkyl(C₁–C₄ alkyl)-,     -   aryl(C₁–C₄ alkyl)-, C₁–C₆ alkoxy, C₁–C₄ alkoxycarbonyl, aryl,         aryl-O—, aryl-SO₂—, heteroaryl, and heteroaryl-SO₂—, wherein         said aryl and heteroaryl groups are substituted with 0–4 groups         selected from hydrogen, halogen, CF₃, C₁–C₃ alkyl, and C₁–C₃         alkoxy; -   R^(20e) is selected from:     -   hydroxy, C₁–C₆ alkyloxy, C₃–C₆ cycloalkyloxy, aryloxy,         aryl(C₁–C₄ alkyl)oxy,     -   C₂–C₁₀ alkylcarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₂–C₁₀ alkoxycarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₂–C₁₀ alkoxycarbonyl(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkylcarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkoxycarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkoxycarbonyl(C₁–C₂ alkyl)oxy-,     -   aryloxycarbonyl(C₁–C₂ alkyl)oxy-,     -   aryloxycarbonyloxy(C₁–C₂ alkyl)oxy-,     -   arylcarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₁–C₅ alkoxy(C₁–C₅ alkyl)carbonyloxy(C₁–C₂ alkyl)oxy,     -   (5-(C₁–C₅ alkyl)-1,3-dioxa-cyclopenten-2-one-yl)methyloxy,     -   (5-aryl-1,3-dioxa-cyclopenten-2-one-yl)methyloxy, and     -   (R^(10e))(R^(11e))N—(C₁–C₁₀ alkoxy)-; -   R^(21e) is selected from:     -   C₁–C₄ alkyl, C₂–C₆ alkenyl, C₃–C₆ cycloalkyl, (C₃–C₆         cycloalkyl)methyl, aryl, aryl(C₁–C₄ alkyl)-, and C₁–C₁₀ alkyl         substituted with 0–2 R^(7e); -   R^(22e) is selected from:     -   —C(═O)—R^(18be), —C(═O)N(R^(18be))₂, —C(═O)NHSO₂R^(18ae),         —C(═O)NHC(═O)R^(18be), —C(═O)NHC(═O)OR^(18ae), and         —C(═O)NHSO₂NHR^(18be); -   m^(e) is 0–2; -   n^(e) is 0–4; -   p^(e) is 0–2; -   C_(h) is

-   A¹ is selected from the group: OH, and a bond to L_(n); -   A², A⁴, and A⁶ are each N; -   A³, A⁵, and A⁸ are each OH; -   A⁷ is a bond to L_(n) or NH-bond to L_(n); -   E is a C₂ alkyl substituted with 0–1 R¹⁷; -   R¹⁷ is ═O; -   alternatively, C_(h) is

-   A¹ is selected from the group: OH, and a bond to L_(n); -   A², A³ and A⁴ are each N; -   A⁵, A⁶ and A⁸ are each OH; -   A⁷ is a bond to L_(n); -   E is a C₂ alkyl substituted with 0–1 R¹⁷; -   R¹⁷ is ═O; -   alternatively, C_(h) is

-   A¹ is NH₂ or N═C(R²⁰) (R²¹); -   E is a bond; -   A² is NHR¹³; -   R¹³ is a heterocycle substituted with R¹⁷, the heterocycle being     selected from pyridine and pyrimidine; -   R¹⁷ is selected from a bond to L_(n), C(═O)NHR¹⁸ and C(═O)R¹⁸; -   R¹⁸ is a bond to L_(n); -   R²⁴ is selected from the group: —CO₂R²⁵, —OR²⁵, —SO₃H, and —N(R²⁵)₂;     and, -   R²⁵ is independently selected at each occurrence from the group:     hydrogen and methyl.

[9] In another embodiment, the present invention provides a method of any of embodiments [6]–[8], wherein compound is of the formula (I): (Q)_(d)-L_(n)-C_(h) or (Q)_(d)-L_(n)-(C_(h))_(d′)  (I) wherein, Q is a compound of Formula (II):

including stereoisomeric forms thereof, or mixtures of stereoisomeric forms thereof, or pharmaceutically acceptable salt or prodrug forms thereof wherein:

-   R^(1e) is

-   R^(2e) and R^(3e) are independently H; -   U^(e) is —NH(CH₂)_(n) ^(e)—; -   G^(e) is N or CR^(19e); -   W^(e) is—C(═O)—N(R^(10e))—(C₂ alkylene)-, in which the alkylene     group is substituted by R^(8e) and by R^(9e): -   R^(8e) and R^(9e) are independently selected from:     -   H, and CO₂R^(18be); -   Y^(e) is —NHSO₂R^(18ae); -   n^(e) is 1; -   d is selected from 1 and 2; -   d′ is 2; -   L_(n) is a linking group having the formula:     ((W)_(h)—(CR⁶R⁷)_(g))_(x)-(Z)_(k)-((CR^(6a)R^(7a))_(g′)—(W)_(h′))_(x′); -   W is independently selected at each occurrence from the group: O, S,     NH, NHC(═O), C(═O)NH, NR⁸C(═O), C(═O)N R⁸, C(═O), SO₂NH,     (OCH₂CH₂)_(s), (CH₂CH₂O)_(s′), (OCH₂CH₂CH₂)_(s″), and     (CH₂CH₂CH₂O)_(t); -   Z is selected from the group: a 6 membered heterocyclic ring system     containing 1–4 heteroatoms independently selected from N, S, and O     and substituted with 0–3 R¹⁰; -   R⁶, R^(6a), R⁷, R^(7a), and R⁸ are independently selected at each     occurrence from the group: H, SO₃H, PO₃H, C₁–C₅ alkyl substituted     with 0–3 R¹⁰, aryl substituted with 0–3 R¹⁰, NHC(═O)R¹¹, C(═O)NHR¹¹,     NHR¹¹, and a bond to C_(h); -   R¹⁰ is independently selected at each occurrence from the group:     COOR¹¹, C(═O)NHR¹¹, NHC(═O)R¹¹, NHR¹¹, SO₃H, PO₃H, —OPO₃H₂, —OSO₃H,     and aryl substituted with 0–3 R¹¹; -   R¹¹ is independently selected at each occurrence from the group: H,     —OPO₃H₂, —OSO₃H, C₁₋₅ alkyl substituted with 0–1 R¹², C₁₋₅ alkyl     substituted with carbohydrate substituted with 0–1 R¹², cyclodextrin     substituted with 0–1 R¹², bis(phosphonomethyl)glycine, and a bond to     C_(h); -   R¹² is a bond to C_(h); -   k is selected from 0, and 1; -   h is selected from 0, 1, and 2; -   h′ is selected from 0, 1, and 2; -   g is selected from 0, 1, 2, 3, and 4; -   g′ is selected from 0, 1, and 2; -   s is selected from 2, and 3; -   s′ is 2; -   s″ is 1; -   t is 1; -   t′ is 1; -   x is selected from 0, 1, 4, 5, and 6; -   x′ is selected from 0, 1, 2, 3, 4, 5 and 6; -   C_(h) is a diagnostic metal bonding unit having a formula selected     from the group:

-   A¹, A², A³, A⁴, A⁵, A⁶, A⁷, and A⁸ are independently selected at     each occurrence from the group: NR¹³, NR¹³R¹⁴, S, SH, O, OH, and a     bond to L_(n);

E is a bond, or a spacer group: C₁–C₂ alkyl substituted with 0–1 R¹⁷;

-   R¹³ and R¹⁴ are each independently selected from the group:     hydrogen, and an electron, provided that when one of R¹³ or R¹⁴ is     an electron, then the other is also an electron; -   alternatively, R¹³ and R¹⁴ combine to form ═C(R²⁰)(R²¹); R¹⁷ is     independently selected at each occurrence from the group: a bond to     L_(n), ═O, —CO₂R¹⁸; -   R¹⁸, R^(18a), and R¹⁹ are independently H; -   R²⁰ and R²¹ are independently selected from the group:     -   H, aryl substituted with 0–3 R²³; -   R²³ is independently R²⁴; -   R²⁴ is —SO₃H; or     a pharmaceutically acceptable salt thereof.

[10] In another embodiment, the present invention provides a method of any one of embodiments [1] to [9], wherein

-   Q is selected from the group:     -   3-[7-[(imidazolin-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(3,5-dimethylisoxazol-4-ylsulfonylamino)propionic         acid,     -   3-[7-[(imidazolin-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(benzyloxycarbonylamino)propionic         acid,     -   3-[7-[(imidazolin-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(n-butyloxycarbonylamino)propionic         acid,     -   3-[7-[(imidazolin-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(n-butylsulfonylamino)propionic         acid,     -   3-[7-[(tetrahydropyrimid-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(benzyloxycarbonylamino)propionic         acid,     -   3-[7-[(tetrahydropyrimid-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(n-butyloxycarbonylamino)propionic         acid,     -   3-[7-[(tetrahydropyrimid-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(phenylsulfonylamino)propionic         acid,     -   3-[7-[(tetrahydropyrimid-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(n-butylsulfonyl)aminopropionic         acid,     -   3-[7-[(2-aminothiazol-4-yl)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(benzyloxycarbonylamino)propionic         acid,     -   3-[7-[(imidazolin-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(tetrahydropyrimid-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(imidazol-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(3,5-dimethylisoxazol-4-ylsulfonylamino)propionic         acid,     -   3-[7-[(imidazol-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(benzyloxycarbonylamino)propionic         acid,     -   3-[7-[(imidazol-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(imidazol-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((4-biphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(imidazol-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(1-naphthylsulfonylamino)propionic         acid,     -   3-[7-[(benzimidazol-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(4-methylimidazol-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(4,5-dimethylimidazol-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(4,5,6,7-tetrahydrobenzimidazol-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(pyridin-2-ylamino)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-(2-aminopyridin-6-yl)-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(7-azabenzimidazol-2-yl)methyl]-1-methyl-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(benzimidazol-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]pro-pionic         acid,     -   3-[7-[(pyridin-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]propionic         acid,     -   3-[7-[(imidazolin-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]propionic         acid,     -   3-[7-[(imidazol-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]propionic         acid,     -   3-[7-[(imidazolin-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(benzyloxycarbonylamino)propionic         acid,     -   3-[7-[(imidazolin-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(n-butyloxycarbonylamino)propionic         acid,     -   3-[7-[(imidazolin-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(phenylsulfonylamino)propionic         acid,     -   3-[7-[(imidazolin-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(n-butylsulfonylamino)propionic         acid,     -   3-[7-[(tetrahydropyrimid-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(benzyloxycarbonylamino)propionic         acid,     -   3-[7-[(tetrahydropyrimid-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(n-butyloxycarbonylamino)propionic         acid,     -   3-[7-[(tetrahydropyrimid-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(phenylsulfonylamino)propionic         acid,     -   3-[7-[(tetrahydropyrimid-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(n-butylsulfonyl)aminopropionic         acid,     -   3-[7-[(2-aminothiazol-4-yl)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(phenylsulfonylamino)propionic         acid,     -   3-[7-[(2-aminothiazol-4-yl)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(benzyloxycarbonylamino)propionic         acid,     -   3-[7-[(imidazolin-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(tetrahydropyrimid-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfon-ylamino)propionic         acid,     -   3-[7-[(imidazol-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(benzyloxycarbonylamino)propionic         acid,     -   3-[7-[(imidazol-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-(phenylsulfonylamino)propionic         acid,     -   3-[7-[(imidazol-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,6,dichlorophenyl)sulfonylamino)propionic         acid,     -   3-[7-[(imidazol-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(imidazol-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((4-biphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(benzimidazol-2-ylamino)methyl]-1-(2-phenylmethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(4-methylimidazol-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(4,5-dimethylimidazol-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(4,5,6,7-tetrahydrobenzimidazol-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-[(pyridin-2-ylamino)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid,     -   3-[7-(2-aminopyridin-6-yl)-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid, and     -   3-[7-[(7-azabenzimidazol-2-yl)methyl]-1-(2-phenylethyl)-6,8-difluoroquinoline-4-one-3-ylcarbonylamino]-2-((2,4,6-trimethylphenyl)sulfonylamino)propionic         acid.

[11] In another embodiment, the present invention provides a method of any one of embodiments [6] to [10], wherein the compound is selected from the group:

-   2-(((4-(4-(((3-(2-(2-(3-((6-((1-aza-2-(2-sulfophenyl)vinyl)amino)     (3-pyridyl))carbonylamino)-propoxy)ethoxy)-ethoxy)propyl)amino)sulfonyl)phenyl)phenyl)-sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic     acid; -   3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((4-(4-(((3-(2-(2-(3-(2-(1,4,7,10-tetraaza-4,7,10-tris(carboxylmethyl)cyclododecyl)acetylamino)-propoxy)ethoxy)ethoxy)propyl)amino)sulfonyl)-phenyl)phenyl)sulfonyl)amino)propanoic     acid; -   2-(((4-(3-(N-(3-(2-(2-(3-((6-((1-aza-2-(2-sulfophenyl)vinyl)amino)     (3-pyridyl))carbonylamino)-propoxy)ethoxy)ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic; -   3-((1-(3-((6-((1-aza-2-(2-sulfophenyl)vinyl)amino)(3-pyridyl))carbonylamino)propyl)-7-((imidazole-2-ylamino)methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic     acid; -   3-((1-(3-((6-((1-aza-2-(2-sulfophenyl)vinyl)amino)(3-pyridyl))carbonylamino)propyl)-7-(((1-hydroxyimidazole-2-yl)amino)methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic     acid; -   3-((1-(3-(3-(N-(3-(2-(2-(3-((6-((1-aza-2-(2-sulfophenyl)vinyl)amino)(3-pyridyl))carbonylamino)propoxy)ethoxy)-ethoxy)propyl)carbamoyl)propanoylamino)propyl)-7-((imidazole-2-ylamino)methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic     acid; -   2-(2-aza-2-(5-(N-(1,3-bis(3-(2-(2-(3-(3-(N-(3-(3-(N-(3-carboxy-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)-ethyl)carbamoyl)-7-((imidazole-2-ylamino)methyl)4-oxohydroquinolyl)propyl)carbamoyl)propanoylamino)propoxy)ethoxy)ethoxy)propyl)carbamoyl)     (2-pyridyl))amino)vinyl)benzenesulfonic acid;

-   2-(((4-(3-(N-(3-(2-(2-(3-(2-(1,4,7,10-tetraaza-4,7,10-tris(carboxymethyl)cyclododecylacetylamino)-6-aminohexanoylamino)propoxy)ethoxy)ethoxy)-propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))-carbonylamino)propanoic     acid ; -   2-(((4-(3-(N-(3-(2-(2-(3-(2-(1,4,7,10-tetraaza-4,7,10-tris(carboxymethyl)cyclododecylacetylamino)-6-(2-(bis(phosphonomethyl)amino)acetylamino)hexanoylamino)propoxy)ethoxy)ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic     acid conjugate; and -   2-(((4-(3-(N-(3-(2-(2-(3-(2-(2-((2-((2-(bis(carboxymethyl)-amino)ethyl)     (carboxymethyl)amino)ethyl)(carboxymethyl)amino)acetylamino)-3-sulfopropyl)-propoxy)ethoxy)ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic     acid;

or a pharmaceutically acceptable salt form thereof.

[12] In another embodiment, the present invention provides a method of embodiment [5], wherein the diagnostic metallopharmaceutical is a diagnostic radiopharmaceutical and the diagnostic metal is a radioisotope selected from the group: ^(99m)Tc, ⁹⁵Tc, ¹¹¹In, ⁶²Cu, ⁶⁴Cu, ⁶⁷Ga, and ⁶⁸Ga.

[13] In another embodiment, the present invention provides a method of embodiment [12], wherein the radioisotope is selected from the group consisting of ¹¹¹In, and ^(99m)Tc.

[14] In another embodiment, the present invention provides a method of embodiment [12], wherein the radioisotope is ^(99m)Tc or ⁹⁵Tc, the radiopharmaceutical further comprises a first ancillary ligand and a second ancillary ligand capable of stabilizing the radiopharmaceutical.

[15] In another embodiment, the present invention provides a method of embodiment [13] or [14], wherein the radiopharmaceutical is selected from the group:

-   ^(99m)Tc(2-(((4-(4-(((3-(2-(2-(3-((6-(diazenido)(3-pyridyl))carbonylamino)propoxy)ethoxy)-ethoxy)propyl)amino)sulfonyl)phenyl)phenyl)-sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic     acid) (tricine) (TPPTS); -   ^(99m)Tc(2-(((4-(3-(N-(3-(2-(2-(3-((6-(diazenido)(3-pyridyl))carbonylamino)propoxy)ethoxy)-ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))-carbonylamino)propanoic     acid) (tricine)(TPPDS); -   ^(99m)Tc(3-((1-(3-((6-(diazenido)(3-pyridyl))carbonylamino)propyl)-7-((imidazole-2-ylamino)methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic     acid) (tricine) (TPPTS); -   ^(99m)Tc(3-((-(3-((6-(diazenido)(3-pyridyl))carbonylamino)propyl)-7-(((1-hydroxyimidazole-2-yl)amino)methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic     acid) (tricine) (TPPTS); -   ^(99m)Tc(3-((1-(3-(3-(N-(3-(2-(2-(3-((6-(diazenido)(3-pyridyl))carbonylamino)propoxy)ethoxy)-ethoxy)propyl)carbamoyl)propanoylamino)propyl)-7-((imidazole-2-ylamino)methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic     acid) (tricine) (TPPTS); -   ^(99m)Tc(2-(2-(5-(N-(1,3-bis(3-(2-(2-(3-(3-(N-(3-(3-(N-(3-carboxy-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)-ethyl)carbamoyl)-7-((imidazole-2-ylamino)methyl)4-oxohydroquinolyl)propyl)carbamoyl)propanoylamino)propoxy)ethoxy)ethoxy)propyl)carbamoyl)     (2-pyridyl)diazenido)) (tricine) (TPPTS); -   ^(99m)Tc(3-{[1-(3-{2-[(6-(diazenido)     (3-pyridyl))carbonylamino](2R)-3-sulfopropyl}propyl)-7-[(imidazol-2-ylamino)methyl]-4-oxo(3-hydroquinolyl)]carbonylamino}(2S)-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic     acid) (tricine) (TPPTS).

[16] In another embodiment, the present invention provides a method of embodiment [13], wherein the radioisotope is ¹¹¹In.

[17] In another embodiment, the present invention provides a method of embodiment [16], wherein the radiopharmaceutical is selected from the group:

[18] In another embodiment, the present invention provides a method of embodiment [16], wherein the radiopharmaceutical is

[19] In another embodiment, the present invention provides a method of embodiment [5], wherein the diagnostic metallopharmaceutical is a MRI contrast agent; and the diagnostic metal is a paramagnetic metal.

[20] In another embodiment, the present invention provides a method of embodiment [19], wherein the paramagnetic metal is selected from the group consisting of Gd(III), Dy(III), Fe(III) and Mn(II).

[21] In another embodiment, the present invention provides a method of embodiment [20], wherein the paramagnetic metal is Gd(III).

[22] In another embodiment, the present invention provides a method of embodiment [21], wherein the MRI contrast agent is

[23] In another embodiment, the present invention provides a method of embodiment [5], wherein diagnostic metallopharmaceutical is a X-ray contrast agent; and the diagnostic metal is selected from the group: Re, Sm, Ho, Lu, Pm, Y, Bi, Pd, Gd, La, Au, Au, Yb, Dy, Cu, Rh, Ag, and Ir.

[24] In another embodiment, the present invention provides a kit comprising a compound of embodiment [6], and a perfusion imaging agent.

[25] In another embodiment, the present invention provides a kit of embodiment [24], further comprising a reducing agent.

[26] In another embodiment, the present invention provides a kit of embodiment [25], wherein the reducing agent is tin(II).

[27] In another embodiment, the present invention provides a kit of embodiment [25] further comprising one or more ancillary ligands.

[28] In another embodiment, the present invention provides a kit of embodiment [27] wherein the ancillary ligands are tricine and TPPTS.

[29] In another embodiment, the present invention provides a method of embodiment [1], wherein the vitronectin targeted imaging agent is a vitronectin targeted ultrasound imaging agent.

[30] In another embodiment, the present invention provides a method of embodiment [29] wherein the ultrasound imaging agent comprises an echogenic gas or temperature activated gaseous precursor, and a compound, wherein the compound comprises:

-   a) a surfactant; -   b) a targeting moiety, wherein the targeting moiety is bound to the     surfactant; and -   c) 0–1 linking groups between the targeting moiety and surfactant; -   wherein the targeting moiety is a quinolone non-peptide, which binds     to a vitronectin receptor.

[31] In another embodiment, the present invention provides a method of embodiment [30] wherein the vitronectin receptor is selected from the group α_(v)β₃ and α_(v)β₅.

[32] In another embodiment, the present invention provides a method of embodiment [31] wherein the vitronectin receptor is α_(v)β₃.

[33] In another embodiment, the present invention provides a method of embodiment [31] wherein the compound is of the formula: (Q)_(d)-L_(n)-S_(f) wherein, Q is a compound of Formula (II):

including stereoisomeric forms thereof, or mixtures of stereoisomeric forms thereof, or pharmaceutically acceptable salt or prodrug forms thereof wherein:

-   R^(1e) is selected from:

-   A^(e) is —CH₂— or —N(R^(10e))—; -   A^(1e) and B^(e) are independently —CH₂— or —N(R^(10e))—; -   D^(e) is —N(R^(10e))— or —S—; -   E^(e)–F^(e) is —C(R^(2e))═C(R^(3e))— or —C(R^(2e))₂C(R^(3e))₂—; -   J^(e) is —C(R^(2e))— or —N—; -   K^(e), L^(e) and M^(e) are independently —C(R^(2e))— or —C(R^(3e))—; -   R^(2e) and R^(3e) are independently selected from:     -   H, C₁–C₄ alkoxy, NR^(11e)R^(12e), halogen, NO₂, CN, CF₃, C₁–C₆         alkyl, C₃–C₆ alkenyl, C₃–C₇ cycloalkyl, C₃–C₇ cycloalkyl (C₁–C₄         alkyl), aryl(C₁–C₆ alkyl)-, (C₁–C₆ alkyl)carbonyl, (C₁–C₆         alkoxy)carbonyl, arylcarbonyl, and aryl substituted with 0–4         R^(7e),     -   alternatively, when R^(2e) and R^(3e)are substituents on         adjacent atoms, they can be taken together with the carbon atoms         to which they are attached to form a 5–7 membered carbocyclic or         5–7 membered heterocyclic aromatic or nonaromatic ring system,         said carbocyclic or heterocyclic ring being substituted with 0–2         groups selected from C₁–C₄ alkyl, C₁–C₄ alkoxy, halo, cyano,         amino, CF₃ and NO₂; -   R^(2ae) is selected from:     -   H, C₁–C₁₀ alkyl, C₂–C₆ alkenyl, C₃–C₁₁ cycloalkyl, C₃–C₇         cycloalkyl(C₁–C₄ alkyl), aryl, aryl(C₁–C₄ alkyl)-, (C₂–C₇ alkyl)         carbonyl, arylcarbonyl, (C₂–C₁₀ alkoxy)carbonyl, C₃–C₇         cycloalkoxycarbonyl, C₇–C₁₁ bicycloalkoxycarbonyl,         aryloxycarbonyl, aryl (C₁–C₁₀ alkoxy) carbonyl, C₁–C₆         alkylcarbonyloxy(C₁–C₄ alkoxy)carbonyl, arylcarbonyloxy(C₁–C₄         alkoxy)carbonyl, and C₃–C₇ cycloalkylcarbonyloxy(C₁–C₄         alkoxy)carbonyl; -   R^(7e) is selected from:     -   H, hydroxy, C₁–C₄ alkyl, C₁–C₄ alkoxy, aryl, aryl (C₁–C₄         alkyl)-, (C₁–C₄ alkyl)carbonyl, CO₂R^(18ae), SO₂R^(11e),         SO₂NR^(10e)R^(11e), OR^(10e), and N(R^(11e))R^(12e); -   U^(e) is selected from:     -   —(CH₂)_(n) ^(e)—, —(CH₂)_(n) ^(e)O(CH₂)_(m) ^(e)—, —(CH₂)_(n)         ^(e)N(R¹²)(CH₂)_(m) ^(e)—, —NH (CH₂)_(n) ^(e)—, —(CH₂)_(n)         ^(e)C(═O)(CH₂)_(m) ^(e)—, —(CH₂)_(n) ^(e)S(O)_(p) ^(e)(CH₂)_(m)         ^(e)—, —(CH₂)_(n) ^(e)NHNH(CH₂)_(m) ^(e)—, —N(R^(10e))C(═O)—,         —NHC(═O) (CH₂)_(n) ^(e)—, —C(═O)N(R^(10e))—, and         —N(R^(10e))S(O)_(p) ^(e)—; -   G^(e) is N or CR^(19e); -   W^(e) is —C(═O)—N(R^(10e))—(C₁–C₃ alkylene)-, in which the alkylene     group is substituted by R^(8e) and by R^(9e): -   R^(8e) and R^(9e) are independently selected from:     -   H, CO₂R^(18be), C(═O)R^(18be), CONR¹⁷R^(18be),     -   C₁–C₁₀ alkyl substituted with 0–1 R^(6e),     -   C₂–C₁₀ alkenyl substituted with 0–1 R^(6e),     -   C₂–C₁₀ alkynyl substituted with 0–1 R^(6e),     -   C₃–C₈ cycloalkyl substituted with 0–1 R^(6e),     -   C₅–C₆ cycloalkenyl substituted with 0–1 R^(6e),     -   (C₁–C₁₀ alkyl) carbonyl,     -   C₃–C₁₀ cycloalkyl(C₁–C₄ alkyl)-,     -   phenyl substituted with 0–3 R^(6e),     -   naphthyl substituted with 0–3 R^(6e),     -   a 5–10 membered heterocyclic ring containing 1–3 N, O, or S         heteroatoms, wherein said heterocyclic ring may be saturated,         partially saturated, or fully unsaturated, said heterocyclic         ring being substituted with 0–2 R^(7e),     -   C₁–C₁₀ alkoxy substituted with 0–2 R^(7e),     -   hydroxy, nitro, —N(R^(10e))R^(11e), —N(R^(16e))R^(17e),         aryl(C₀–C₆ alkyl)carbonyl, aryl(C₃–C₆ alkyl), heteroaryl (C₁–C₆         alkyl), CONR^(18ae)R^(20e), SO₂R^(18ae), and         SO₂NR^(18ae)R^(20e),     -   providing that any of the above alkyl, cycloalkyl, aryl or         heteroaryl groups may be unsubstituted or substituted         independently with 1–2 R^(7e); -   R^(6e) is selected from:     -   H, C₁–C₁₀ alkyl, hydroxy, C₁–C₁₀ alkoxy, nitro, C₁–C₁₀         alkylcarbonyl, —N(R^(11e))R^(12e), cyano, halo, CF₃, CHO,         CO₂R^(18be), C(═O)R^(18be), CONR^(17e)R^(18be), OC(═O)R^(10e),         OR^(10e), OC(═O)NR^(10e)R^(11e), NR^(10e)C(═O)R^(10e),         NR^(10e)C(═O)OR^(21e), NR^(10e)C (═O)NR^(10e)R^(11e),         NR^(10e)SO₂NR^(10e)R^(11e), NR^(10e)SO₂R^(21e), S(O)_(p)R^(11e),         SO₂NR^(10e)R^(11e),     -   aryl substituted with 0–3 groups selected from halogen, C₁–C₆         alkoxy, C₁–C₆ alkyl, CF₃, S(O)_(m) ^(e)Me, and —NMe₂,     -   aryl(C₁–C₄ alkyl)-, said aryl being substituted with 0–3 groups         selected from halogen, C₁–C₆ alkoxy, C₁–C₆ alkyl, CF₃, S(O)_(p)         ^(e)Me, and —NMe₂, and -   a 5–10 membered heterocyclic ring containing 1–3 N, O, or S     heteroatoms, wherein said heterocyclic ring may be saturated,     partially saturated, or fully unsaturated, said heterocyclic ring     being substituted with 0–2 R^(7e); -   R^(10e) is selected from:     -   H, CF₃, C₃–C₆ alkenyl, C₃–C₁₁ cycloalkyl, aryl, (C₃–C₁₁         cycloalkyl)methyl, aryl(C₁–C₄ alkyl), and C₁–C₁₀ alkyl         substituted with 0–2 R^(6e); -   R^(11e) is selected from:     -   H, hydroxy, C₁–C₈ alkyl, C₃–C₆ alkenyl, C₃–C₁₁ cycloalkyl,         (C₃–C₁₁ cycloalkyl)methyl, C₁–C₆ alkoxy, benzyloxy, aryl,         heteroaryl, heteroaryl(C₁–C₄ alkyl)-, aryl(C₁–C₄ alkyl),         adamantylmethyl, and C₁–C₁₀ alkyl substituted with 0–2 R^(4e); -   R^(4e) is selected from:     -   H, C₁–C₆ alkyl, C₃–C₇ cycloalkyl, C₃–C₇ cycloalkyl(C₁–C₄         alkyl)-, (C₁–C₁₀ alkyl)carbonyl, aryl, heteroaryl, aryl(C₁–C₆         alkyl)-, and heteroaryl(C₁–C₆ alkyl)-, wherein said aryl or         heteroaryl groups are substituted with 0–2 substituents         independently selected from the group consisting of C₁–C₄ alkyl,         C₁–C₄ alkoxy, F, Cl, Br, CF₃, and NO₂, -   alternatively, when R^(10e) and R^(11e) are both substituents on the     same nitrogen atom (as in —NR^(10e)R^(11e)) they may be taken     together with the nitrogen atom to which they are attached to form a     heterocycle selected from: 3-azabicyclononyl,     1,2,3,4-tetrahydro-1-quinolinyl, 1,2,3,4-tetrahydro-2-isoquinolinyl,     1-piperidinyl, 1-morpholinyl, 1-pyrrolidinyl, thiamorpholinyl,     thiazolidinyl, and 1-piperazinyl; said heterocycle being substituted     with 0–3 groups selected from: C₁–C₆ alkyl, aryl, heteroaryl,     aryl(C₁–C₄ alkyl)-, (C₁–C₆ alkyl)carbonyl, (C₃–C₇     cycloalkyl)carbonyl, (C₁–C₆ alkoxy)carbonyl, aryl(C₁–C₄     alkoxy)carbonyl, C₁–C₆ alkylsulfonyl, and arylsulfonyl; -   R^(12e) is selected from:     -   H, C₁–C₆ alkyl, triphenylmethyl, methoxymethyl,         methoxyphenyldiphenylmethyl, trimethylsilylethoxymethyl, (C₁–C₆         alkyl)carbonyl, (C₁–C₆ alkoxy)carbonyl, (C₁–C₆         alkyl)aminocarbonyl, C₃–C₆ alkenyl, C₃–C₇ cycloalkyl, C₃–C₇         cycloalkyl(C₁–C₄ alkyl)-, aryl, heteroaryl(C₁–C₆ alkyl)carbonyl,         heteroarylcarbonyl, aryl(C₁–C₆ alkyl)-, (C₁–C₆ alkyl)carbonyl,         arylcarbonyl, C₁–C₆ alkylsulfonyl, arylsulfonyl, aryl(C₁–C₆         alkyl)sulfonyl, heteroarylsulfonyl, heteroaryl(C₁–C₆         alkyl)-sulfonyl, aryloxycarbonyl, and aryl(C₁–C₆         alkoxy)carbonyl, wherein said aryl groups are substituted with         0–2 substituents selected from the group consisting of C₁–C₄         alkyl, C₁–C₄ alkoxy, halo, CF₃, and nitro; -   R^(16e) is selected from:     -   —C(═O)OR^(18ae), —C(═O)R^(18be), −C(═O)N(R^(18be))₂,         —C(═O)NHSO₂R^(18ae), —C(═O)NHC(═O)R^(18be),         —C(═O)NHC(═O)OR^(18ae), —C(═O)NHSO₂NHR^(18be), —SO₂R^(18ae),         —SO₂N(R^(18be))₂, and —SO₂NHC(═O)OR^(18be); -   R^(17e) is selected from:     -   H, C₁–C₆ alkyl, C₃–C₇ cycloalkyl, C₃–C₇ cycloalkyl(C₁–C₄         alkyl)-, aryl, aryl(C₁–C₆ alkyl)-, and heteroaryl(C₁–C₆ alkyl); -   R^(18ae) is selected from:     -   C₁–C₈ alkyl optionally substituted with a bond to L_(n), C₃–C₁₁         cycloalkyl optionally substituted with a bond to L_(n),         aryl(C₁–C₆ alkyl)-optionally substituted with a bond to L_(n),         heteroaryl(C₁–C₆ alkyl)-optionally substituted with a bond to         L_(n), (C₁–C₆ alkyl)heteroaryl optionally substituted with a         bond to L_(n), biaryl(C₁–C₆ alkyl) optionally substituted with a         bond to L_(n), heteroaryl optionally substituted with a bond to         L_(n), phenyl substituted with 3–4 R^(19e) and optionally         substituted with a bond to L_(n), naphthyl substituted with 0–4         R^(19e) and optionally substituted with a bond to L_(n), and a         bond to L_(n), wherein said aryl or heteroaryl groups are         optionally substituted with 0–4 R^(19e); -   R^(18be) is H or R^(18ae); -   R^(19e) is selected from:     -   H, halogen, CF₃, CO₂H, CN, NO₂, —NR^(11e)R^(12e), OCF₃, C₁–C₈         alkyl, C₂–C₆ alkenyl, C₂–C₆ alkynyl, C₃–C₁₁ cycloalkyl, C₃–C₇         cycloalkyl(C₁–C₄ alkyl)-, aryl(C₁–C₆ alkyl)-, C₁–C₆ alkoxy,         C₁–C₄ alkoxycarbonyl, aryl, aryl-O—, aryl-SO₂—, heteroaryl, and         heteroaryl-SO₂—, wherein said aryl and heteroaryl groups are         substituted with 0–4 groups selected from hydrogen, halogen,         CF₃, C₁–C₃ alkyl, and C₁–C₃ alkoxy; -   R^(20e) is selected from:     -   hydroxy, C₁–C₁₀ alkyloxy, C₃–C₁₁ cycloalkyloxy, aryloxy,         aryl(C₁–C₄ alkyl)oxy,     -   C₂–C₁₀ alkylcarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₂–C₁₀ alkoxycarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₂–C₁₀ alkoxycarbonyl(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkylcarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkoxycarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkoxycarbonyl(C₁–C₂ alkyl)oxy-,     -   aryloxycarbonyl(C₁–C₂ alkyl)oxy-,     -   aryloxycarbonyloxy(C₁–C₂ alkyl)oxy-,     -   arylcarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₁–C₅ alkoxy(C₁–C₅ alkyl)carbonyloxy(C₁–C₂ alkyl)oxy,     -   (5-(C₁–C₅ alkyl)-1,3-dioxa-cyclopenten-2-one-yl)methyloxy,     -   (5-aryl-1,3-dioxa-cyclopenten-2-one-yl)methyloxy, and     -   (R^(10e)) (R^(11e))N—(C₁–C₁₀ alkoxy)-; -   R^(21e) is selected from:     -   C₁–C₈ alkyl, C₂–C₆ alkenyl, C₃–C₁₁ cycloalkyl, (C₃–C₁₁         cycloalkyl)methyl, aryl, aryl(C₁–C₄ alkyl)-, and C₁–C₁₀ alkyl         substituted with 0–2 R^(7e); -   R^(22e) is selected from:     -   —C(═O)—R^(18be), —C(═O)N(R^(18be))₂, —C(═O)NHSO₂R^(18ae),         —C(═O)NHC(═O)R^(18be), —C(═O)NHC(═O)OR^(18ae), and         —C(═O)NHSO₂NHR^(18be); -   Y^(e) is selected from:     -   —COR^(20e), —SO₃H, —PO₃H, —CONHNHSO₂CF₃, —CONHSO₂R^(18ae),         —CONHSO₂NHR^(18be), —NHCOCF₃, —NHCONHSO₂R^(18ae),         —NHSO₂R^(18ae), —OPO₃H₂, —OSO₃H, —PO₃H₂, —SO₂NHCOR^(18ae),         —SO₂NHCO₂R^(18ae),

-   m^(e) is 0–2; -   n^(e) is 0–4; -   p^(e) is 0–2; -   r^(e) is 0–2; -   with the following proviso: n^(e) and m^(e) are chosen such that the     number of atoms connecting R^(1e) and y^(e) is in the range of 8–14; -   d is selected from 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10; -   L_(n) is a linking group having the formula:     ((W)_(h)—(CR⁶R⁷)_(g))_(x)—(Z)_(k)-((CR^(6a)R^(7a))_(g′)—(W)_(h′))_(x′); -   W is independently selected at each occurrence from the group: O, S,     NH, NHC(═O), C(═O)NH, NR⁸C(═O), C(═O)N R⁸, C(═O), C(═O)O, OC(═O),     NHC(═S)NH, NHC(═O)NH, SO₂, SO₂NH, (OCH₂CH₂)₂₀₋₂₀₀, (CH₂CH₂O)₂₀₋₂₀₀,     (OCH₂CH₂CH₂)₂₀₋₂₀₀, (CH₂CH₂CH₂O)₂₀₋₂₀₀, and (aa)_(t′); -   aa is independently at each occurrence an amino acid; -   Z is selected from the group: aryl substituted with 0–3 R¹⁰, C₃-₁₀     cycloalkyl substituted with 0–3 R¹⁰, and a 5–10 membered     heterocyclic ring system containing 1–4 heteroatoms independently     selected from N, S, and O and substituted with 0–3 R¹⁰; -   R⁶, R^(6a), R⁷, R^(7a), and R⁸ are independently selected at each     occurrence from the group: H, ═O, COOH, SO₃H, PO₃H, C₁–C₅ alkyl     substituted with 0–3 R¹⁰, aryl substituted with 0–3 R¹⁰, benzyl     substituted with 0–3 R¹⁰, and C₁–C₅ alkoxy substituted with 0–3 R¹⁰,     NHC(═O)R¹¹, C(═O)NHR¹¹, NHC(═O)NHR¹¹, NHR¹¹, R¹¹, and a bond to     S_(f); -   R¹⁰ is independently selected at each occurrence from the group: a     bond to S_(f), COOR¹¹, C(═O)NHR¹¹, NHC(═O)R¹¹, OH, NHR¹¹, SO₃H,     PO₃H, —OPO₃H₂, —OSO₃H, aryl substituted with 0–3 R¹¹, C₁₋₅ alkyl     substituted with 0–1 R¹², C₁₋₅ alkoxy substituted with 0–1 R¹², and     a 5–10 membered heterocyclic ring system containing 1–4 heteroatoms     independently selected from N, S, and O and substituted with 0–3     R¹¹; -   R¹¹ is independently selected at each occurrence from the group: H,     alkyl substituted with 0–1 R¹², aryl substituted with 0–1 R¹², a     5–10 membered heterocyclic ring system containing 1–4 heteroatoms     independently selected from N, S, and O and substituted with 0–1     R¹², C₃₋₁₀ cycloalkyl substituted with 0–1 R¹², polyalkylene glycol     substituted with 0–1 R¹², carbohydrate substituted with 0–1 R¹²,     cyclodextrin substituted with 0–1 R¹², amino acid substituted with     0–1 R¹², polycarboxyalkyl substituted with 0–1 R¹², polyazaalkyl     substituted with 0–1 R¹², peptide substituted with 0–1 R¹², wherein     the peptide is comprised of 2–10 amino acids,     3,6-O-disulfo-B-D-galactopyranosyl, bis(phosphonomethyl)glycine, and     a bond to S_(f); -   R¹² is a bond to S_(f); -   k is selected from 0, 1, and 2; -   h is selected from 0, 1, and 2; -   h′ is selected from 0, 1, and 2; -   g is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10; -   g′ is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10; -   t′ is selected from 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10; -   x is selected from 0, 1, 2, 3, 4, and 5; -   x′ is selected from 0, 1, 2, 3, 4, and 5; -   S_(f) is a surfactant which is a lipid or a compound of the formula:

-   A⁹ is selected from the group: OH and OR²⁷; -   A¹⁰ is OR²⁷; -   R²⁷ is C(═O)C₁₋₂₀ alkyl; -   E¹ is C₁₋₁₀ alkylene substituted with 1–3 R²⁸; -   R²⁸ is independently selected at each occurrence from the group:     R³⁰, —PO₃H—R³⁰, ═O, —CO₂R²⁹, —C(═O)R²⁹, —C(═O)N(R²⁹)₂, —CH₂OR²⁹,     —OR²⁹, —N(R²⁹)₂, C₁–C₅ alkyl, and C₂–C₄ alkenyl; -   R²⁹ is independently selected at each occurrence from the group:     R³⁰, H, C₁–C₆ alkyl, phenyl, benzyl, and trifluoromethyl; -   R³⁰ is a bond to L_(n); -   and a pharmaceutically acceptable salt thereof.

[34] In another embodiment, the present invention provides a method of embodiment [31] wherein the compound is of the formula: Q-L_(n)-S_(f) wherein, Q is a compound of Formula (IV):

including stereoisomeric forms thereof, or mixtures of stereoisomeric forms thereof, or pharmaceutically acceptable salt or prodrug forms thereof wherein:

-   R^(1e) is selected from:

-   R^(2e) and R^(3e) are independently selected from:     -   H, C₁–C₄ alkoxy, NR^(11e)R^(12e), halogen, NO₂, CN, CF₃, C₁–C₆         alkyl, C₃–C₆ alkenyl, C₃–C₇ cycloalkyl, C₃–C₇ cycloalkyl(C₁–C₄         alkyl), aryl(C₁–C₆ alkyl)-, (C₁–C₆ alkyl)carbonyl, (C₁–C₆         alkoxy)carbonyl, arylcarbonyl, and aryl substituted with 0–4         R^(7e),     -   alternatively, when R^(2e) and R^(3e) are substituents on         adjacent atoms, they can be taken together with the carbon atoms         to which they are attached to form a 5–7 membered carbocyclic or         5–7 membered heterocyclic aromatic or nonaromatic ring system,         said carbocyclic or heterocyclic ring being substituted with 0–2         groups selected from C₁–C₄ alkyl, C₁–C₄ alkoxy, halo, cyano,         amino, CF₃ and NO₂; -   R^(2ae) is selected from:     -   H, C₁–C₁₀ alkyl, C₂–C₆ alkenyl, C₃–C₁₁ cycloalkyl, C₃–C₇         cycloalkyl(C₁–C₄ alkyl), aryl, aryl(C₁–C₄ alkyl)-, (C₂–C₇         alkyl)carbonyl, arylcarbonyl, (C₂–C₁₀ alkoxy)carbonyl, C₃–C₇         cycloalkoxycarbonyl, C₇–C₁₁ bicycloalkoxycarbonyl,         aryloxycarbonyl, aryl (C₁–C₁₀ alkoxy) carbonyl, C₁–C₆         alkylcarbonyloxy(C₁–C₄ alkoxy)carbonyl, arylcarbonyloxy(C₁–C₄         alkoxy)carbonyl, and C₃–C₇ cycloalkylcarbonyloxy(C₁–C₄         alkoxy)carbonyl; -   R^(7e) is selected from:     -   H, hydroxy, C₁–C₄ alkyl, C₁–C₄ alkoxy, aryl, aryl(C₁–C₄ alkyl)-,         (C₁–C₄ alkyl)carbonyl, CO₂R^(18ae), SO₂R^(11e),         SO₂NR^(10e)R^(11e), OR^(10e), and N(R^(11e))R^(12e); -   U^(e) is selected from:     -   —(CH₂)_(n) ^(e)—, —(CH₂)_(n) ^(e)O(CH₂)_(m) ^(e)—, —NH(CH₂)_(n)         ^(e)—, —N(R^(10e))C(═O)—, —NHC((═O) (CH₂)_(n) ^(e)—, and         —C(═O)N(R^(10e))—; -   G^(e) is N or CR^(19e); -   R^(8e) is selected from:     -   H, CO₂R^(18be), C(═O)R^(18be), CONR^(17e)R^(18be),     -   C₁–C₁₀ alkyl substituted with 0–1 R^(6e),     -   C₂–C₁₀ alkenyl substituted with 0–1 R^(6e),     -   C₂–C₁₀ alkynyl substituted with 0–1 R^(6e),     -   C₃–C₈ cycloalkyl substituted with 0–1 R^(6e),     -   C₅–C₆ cycloalkenyl substituted with 0–1 R^(6e),     -   (C₁–C₁₀ alkyl) carbonyl,     -   C₃–C₁₀ cycloalkyl(C₁–C₄ alkyl)-,     -   phenyl substituted with 0–3 R^(6e),     -   naphthyl substituted with 0–3 R^(6e),     -   a 5–10 membered heterocyclic ring containing 1–3 N, O, or S         heteroatoms, wherein said heterocyclic ring may be saturated,         partially saturated, or fully unsaturated, said heterocyclic         ring being substituted with 0–2 R^(7e); -   R^(9e) is selected from:     -   C₁–C₁₀ alkyl substituted with 0–1 R^(6e),     -   C₁–C₁₀ alkoxy substituted with 0–2 R^(7e),     -   H, nitro, N(R^(11e))R^(12e), OC(═O)R^(10e), OR^(10e),         OC(═O)NR^(10e)R^(11e), NR^(10e)C(═O)R^(10e),         NR^(10e)C(═O)OR^(21e), NR^(10e)C(═O)NR^(10e)R^(11e),         NR^(10e)SO₂NR^(10e)R^(11e), NR^(10e)SO₂R^(21e), hydroxy,         OR^(22e), —N(R^(10e))R^(11e), —N(R^(16e))R^(17e), aryl(C₀–C₆         alkyl)carbonyl, aryl(C₁–C₆ alkyl), heteroaryl(C₁–C₆ alkyl),         CONR^(18ae)R^(20e), SO₂R^(18ae), and SO₂NR^(18ae)R^(20e),     -   providing that any of the above alkyl, cycloalkyl, aryl or         heteroaryl groups may be unsubstituted or substituted         independently with 1–2 R^(7e); -   R^(6e) is selected from:     -   H, C₁–C₁₀ alkyl, hydroxy, C₁–C₁₀ alkoxy, nitro, C₁–C₁₀         alkylcarbonyl, —N(R^(11e))R^(12e), cyano, halo, CF₃, CHO,         CO₂R^(18be), C(═O)R^(18be), CONR^(17e)R^(18be), OC(═O)R^(10e),         OR^(10e), OC(═O)NR^(10e)R^(11e), NR^(10e)C(═O)R^(10e),         NR^(10e)C(═O)OR^(21e), NR^(10e)C(═O)NR^(10e)R^(11e),         NR^(10e)SO₂NR^(10e)R^(11e), NR^(10e)SO₂R^(21e), S(O)_(p)         ^(e)R^(11e), SO₂NR^(10e)R^(11e),     -   aryl substituted with 0–3 groups selected from halogen, C₁–C₆         alkoxy, C₁–C₆ alkyl, CF₃, S(O)_(m) ^(e)Me, and —NMe₂,     -   aryl(C₁–C₄ alkyl)-, said aryl being substituted with 0–3 groups         selected from halogen, C₁–C₆ alkoxy, C₁–C₆ alkyl, CF₃, S(O)_(p)         ^(e)Me, and —NMe₂, and -   a 5–10 membered heterocyclic ring containing 1–3 N, O, or S     heteroatoms, wherein said heterocyclic ring may be saturated,     partially saturated, or fully unsaturated, said heterocyclic ring     being substituted with 0–2 R^(7e); -   R^(10e) is selected from:     -   H, CF₃, C₃–C₆ alkenyl, C₃–C₁₁ cycloalkyl, aryl, (C₃–C₁₁         cycloalkyl)methyl, aryl(C₁–C₄ alkyl), and C₁–C₁₀ alkyl         substituted with 0–2 R^(6e); -   R^(11e) is selected from:     -   H, hydroxy, C₁–C₈ alkyl, C₃–C₆ alkenyl, C₃–C₁₁ cycloalkyl,         (C₃–C₁₁ cycloalkyl)methyl, C₁–C₆ alkoxy, benzyloxy, aryl,         heteroaryl, heteroaryl(C₁–C₄ alkyl)-, aryl(C₁–C₄ alkyl),         adamantylmethyl, and C₁–C₁₀ alkyl substituted with 0–2 R^(4e); -   R^(4e) is selected from:     -   H, C₁–C₆ alkyl, C₃–C₇ cycloalkyl, C₃–C₇ cycloalkyl(C₁–C₄         alkyl)-, aryl, heteroaryl, aryl(C₁–C₆ alkyl)-, and         heteroaryl(C₁–C₆ alkyl)-, wherein said aryl or heteroaryl groups         are substituted with 0–2 substituents independently selected         from the group consisting of C₁–C₄ alkyl, C₁–C₄ alkoxy, F, Cl,         Br, CF₃, and NO₂, -   R^(12e) is selected from:     -   H, C₁–C₆ alkyl, triphenylmethyl, methoxymethyl,         methoxyphenyldiphenylmethyl, trimethylsilylethoxymethyl, (C₁–C₆         alkyl) carbonyl, (C₁–C₆ alkoxy)carbonyl, (C₁–C₆         alkyl)aminocarbonyl, C₃–C₆ alkenyl, C₃–C₇ cycloalkyl, C₃–C₇         cycloalkyl(C₁–C₄ alkyl)-, aryl, heteroaryl(C₁–C₆ alkyl)carbonyl,         heteroarylcarbonyl, aryl(C₁–C₆ alkyl)-, (C₁–C₆ alkyl)carbonyl,         arylcarbonyl, C₁–C₆ alkylsulfonyl, arylsulfonyl, aryl(C₁–C₆         alkyl)sulfonyl, heteroarylsulfonyl, heteroaryl(C₁–C₆         alkyl)sulfonyl, aryloxycarbonyl, and aryl(C₁–C₆ alkoxy)carbonyl,         wherein said aryl groups are substituted with 0–2 substituents         selected from the group consisting of C₁–C₄ alkyl, C₁–C₄ alkoxy,         halo, CF₃, and nitro; -   R^(16e) is selected from:     -   —C(═O)OR^(18ae), C(═O)R^(18be), —C(═O)N(R^(18be))₂,         —SO₂R^(18ae), and —SO₂N(R^(18be))₂; -   R^(17e) is selected from:     -   H, C₁–C₆ alkyl, C₃–C₇ cycloalkyl, C₃–C₇ cycloalkyl(C₁–C₄         alkyl)-, aryl, aryl(C₁–C₆ alkyl)-, and heteroaryl(C₁–C₆ alkyl); -   R^(18ae) is selected from:     -   C₁–C₈ alkyl optionally substituted with a bond to L_(n), C₃–C₁₁         cycloalkyl optionally substituted with a bond to L_(n),         aryl(C₁–C₆ alkyl)-optionally substituted with a bond to L_(n),         heteroaryl (C₁–C₆ alkyl)-optionally substituted with a bond to         L_(n), (C₁–C₆ alkyl)heteroaryl optionally substituted with a         bond to L_(n), biaryl(C₁–C₆ alkyl) optionally substituted with a         bond to L_(n), heteroaryl optionally substituted with a bond to         L_(n), phenyl substituted with 3–4 R^(19e) and optionally         substituted with a bond to L_(n), naphthyl substituted with 0–4         R^(19e) and optionally substituted with a bond to L_(n), and a         bond to L_(n), wherein said aryl or heteroaryl groups are         optionally substituted with 0–4 R^(19e); -   R^(18be) is H or R^(18ae); -   R^(19e) is selected from:     -   H, halogen, CF₃, CO₂H, CN, NO₂, —NR^(11e)R^(12e), OCF₃, C₁–C₈         alkyl, C₂–C₆ alkenyl, C₂–C₆ alkynyl, C₃–C₁₁ cycloalkyl, C₃–C₇         cycloalkyl(C₁–C₄ alkyl)-, aryl(C₁–C₆ alkyl)-, C₁–C₆ alkoxy,         C₁–C₄ alkoxycarbonyl, aryl, aryl-O—, aryl-SO₂—, heteroaryl, and         heteroaryl-SO₂—, wherein said aryl and heteroaryl groups are         substituted with 0–4 groups selected from hydrogen, halogen,         CF₃, C₁–C₃ alkyl, and C₁–C₃ alkoxy; -   R^(20e) is selected from:     -   hydroxy, C₁–C₁₀ alkyloxy, C₃–C₁₁ cycloalkyloxy, aryloxy,         aryl(C₁–C₄ alkyl)oxy, C₂–C₁₀ alkylcarbonyloxy(C₁–C₂ alkyl)oxy-,         C₂–C₁₀ alkoxycarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₂–C₁₀ alkoxycarbonyl(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkylcarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkoxycarbonyloxy(C₁–C₂ alkyl)oxy-,     -   C₃–C₁₀ cycloalkoxycarbonyl(C₁–C₂ alkyl)oxy-,     -   aryloxycarbonyl(C₁–C₂ alkyl)oxy-,     -   aryloxycarbonyloxy(C₁–C₂ alkyl)oxy-,     -   arylcarbonyloxy(C₁–C₂ alkyl)oxy-, C₁–C₅ alkoxy(C₁–C₅         alkyl)carbonyloxy(C₁–C₂ alkyl)oxy,     -   (5-(C₁–C₅ alkyl)-1,3-dioxa-cyclopenten-2-one-yl)methyloxy,     -   (5-aryl-1,3-dioxa-cyclopenten-2-one-yl)methyloxy, and     -   (R^(10e)) (R^(11e))N—(C₁–C₁₀ alkoxy)—; -   R^(21e) is selected from:     -   C₁–C₈ alkyl, C₂–C₆ alkenyl, C₃–C₁₁ cycloalkyl, (C₃–C₁₁         cycloalkyl)methyl, aryl, aryl(C₁–C₄ alkyl)-, and     -   C₁–C₁₀ alkyl substituted with 0–2 R^(7e); -   R^(22e) is selected from:     -   —C(═O)—R^(18be), —C(═O)N(R^(18be))₂, —C(═O)NHSO₂R^(18ae),         —C(═O)NHC(═O)R^(18be), —C(═O)NHC(═O)OR^(18ae), and         —C(═O)NHSO₂NHR^(18be); -   m^(e) is 0–2; -   n^(e) is 0–4; and -   p^(e) is 0–2; -   with the following proviso: n^(e) and m^(e) are chosen such that the     number of atoms connecting R¹ and —COR^(20e) in Formula (IV) is in     the range of 8–14; -   W is independently selected at each occurrence from the group: O, S,     NH, NHC(═O), C(═O)NH, NR⁸C(═O), C(═O)N R⁸, C(═O), C(═O)O, OC(═O),     NHC((═S)NH, NHC(═O)NH, SO₂, SO₂NH, (OCH₂CH₂)₂₀₋₂₀₀, (CH₂CH₂O)₂₀₋₂₀₀,     (OCH₂CH₂CH₂)₂₀₋₂₀₀, (CH₂CH₂CH₂O)₂₀₋₂₀₀, and (aa)_(t′); -   aa is independently at each occurrence an amino acid; -   Z is selected from the group: aryl substituted with 0–1 R¹⁰, C₃₋₁₀     cycloalkyl substituted with 0–1 R¹⁰, and a 5–10 membered     heterocyclic ring system containing 1–4 heteroatoms independently     selected from N, S, and O and substituted with 0–1 R¹⁰; -   R⁶, R^(6a), R⁷, R^(7a), and R⁸ are independently selected at each     occurrence from the group: H, ═O, COOH, SO₃H, C₁–C₅ alkyl     substituted with 0–1 R¹⁰, aryl substituted with 0–1 R¹⁰, benzyl     substituted with 0–1 R¹⁰, and C₁–C₅ alkoxy substituted with 0–1 R¹⁰,     NHC(═O)R¹¹, C(═O)NHR¹¹, NHC(═O)NHR¹¹, NHR¹¹, R¹¹, and a bond to     S_(f); -   k is 0 or 1; -   S_(f) is a surfactant which is a lipid or a compound of the formula:

-   A⁹ is OR²⁷; -   A¹⁰ is OR²⁷; -   R²⁷ is C(═O)C₁₋₁₅ alkyl; -   E¹ is C₁₋₄ alkylene substituted with 1–3 R²⁸; -   R²⁸ is independently selected at each occurrence from the group:     R³⁰, —PO₃H—R³⁰, ═O, —CO₂R²⁹, —C(═O)R²⁹, —CH₂OR²⁹, —OR²⁹, and C₁–C₅     alkyl; -   R²⁹ is independently selected at each occurrence from the group:     R³⁰, H, C₁–C₆ alkyl, phenyl, and benzyl; -   R³⁰ is a bond to L_(n); -   and a pharmaceutically acceptable salt thereof.

[35] In another embodiment, the present invention provides a method of embodiment [30] wherein the ultrasound contrast agent, comprises:

(a) a compound of embodiment [33];

(b) a parenterally acceptable carrier; and,

(c) an echogenic gas.

[36] In another embodiment, the present invention provides a method of embodiment [35] wherein the ultrasound contrast agent, further comprises: 1,2-dipalmitoyl-sn-glycero-3-phosphatidic acid, 1,2-dipalmitoyl-sn-glycero-3-phosphatidylcholine, and N-(methoxypolyethylene glycol 5000 carbamoyl)-1,2-dipalmitoyl-sn-glycero-3-phosphatidylethanolamine.

[37] In another embodiment, the present invention provides a method of embodiment [35] wherein the echogenic gas is a C₂₋₅ perfluorocarbon.

[38] In another embodiment, the present invention provides a kit comprising a compound of embodiment [30] and a perfusion imaging agent.

[39] In another embodiment, the present invention provides a method of embodiment [1] wherein the vitronectin targeted imaging agent and a perfusion imaging agent have spectrally separable gamma-emission energies.

[40] In another embodiment, the present invention provides a method of embodiment [1] wherein the images are displayed side-by-side to facilitate interpretation of the localization of the vitronectin targeted imaging in the body, relative to the distribution of the perfusion agent in the body.

[41] In another embodiment, the present invention provides a method of embodiment [1] wherein the images are overlayed to facilitate interpretation of the localization of the vitronectin targeted imaging in the body, relative to the distribution of the perfusion agent in the body.

[42] In another embodiment, the present invention provides a method of embodiment [1], for use in concurrent imaging sites of angiogenesis and organ perfusion.

[43] In another embodiment, the present invention provides a method of embodiment [1], for use in diagnosing and localizing sites of angiogenesis and perfusion abnormalities.

[44] In another embodiment, the present invention provides a method of embodiment [1] for use in concurrent detection and localization of sites of endothelial damage and perfusion abnormalities.

[45] In another embodiment, the present invention provides a method of embodiment [1] for use in the concurrent detection and localization of sites of vulnerable plaque and perfusion abnormalities.

[46] In another embodiment, the present invention provides a method of embodiment [1], wherein administering the vitronectin targeted imaging agent and a perfusion imaging agent is concurrent.

[47] In another embodiment, the present invention provides a method of embodiment [1], wherein administering the vitronectin targeted imaging agent and a perfusion imaging agent is sequential.

[48] In another embodiment, the present invention provides a method of embodiment [1] wherein the vitronectin targeted imaging agent and a perfusion imaging agent are administered in a synergistically effective amount.

[49] In another embodiment, the present invention provides a method of embodiment [1] wherein the gamma-emission energies of the vitronectin targeted imaging agent and the perfusion imaging agent are spectrally separable by pulse-height analysis.

[50] In another embodiment, the present invention provides a method of embodiment [1] wherein the difference in gamma emission spectral energies of the vitronectin antagonist diagnostic metallopharmaceutical and the perfusion imaging agent is >10 Kev.

[51] In another embodiment, the present invention provides a method of embodiment [1] wherein the perfusion imaging agent is selected from the group consisting of: an ultrasound perfusion agent, an MRI perfusion imaging agent, and a radiolabelled perfusion imaging agent.

[52] In another embodiment, the present invention provides a method of embodiment [1] wherein the perfusion imaging agent is hexakis methoxyisobutyl isonitrile Technetium(I) (^(99m)Tc-Sestamibi), ²¹⁰Tl, ^(99m)Tc-tetrofosmin, ^(99m)Tc-furifosmin, or ^(99m)Tc-NOET.

[53] In another embodiment, the present invention provides a method of embodiment [1] wherein the radiolabelled perfusion imaging agent is a imaging agent that is radiolabeled with Tc-99m or Tl-201.

[54] In another embodiment, the present invention provides a method of embodiment [51] wherein the ultrasound perfusion agent comprises a gaseous microbubble or liquid emulsion.

[55] In another embodiment, the present invention provides a method of embodiment [54] wherein gaseous microbubble comprises a C₂–C₅ perfluorocarbon gas.

[56] In another embodiment, the present invention provides a method of embodiment [54] wherein the liquid emulsion is a perfluorocarbon liquid.

[57] In another embodiment, the present invention provides a method of embodiment [51] wherein the MRI perfusion imaging agent comprises Gd(III), Dy(III), Fe(III), or Mn(II).

[58] In another embodiment, the present invention provides a method of embodiment [57] wherein the MRI perfusion imaging agent is selected from the group:

-   trisodium (2(R)-((4,4-diphenylcyclohexy)     (hydroxy)phosphoryloxymethyl)     diethylenetriaminopentaacetato(6-))-gadolinate(3-), gadopentetic     acid, gadodiamide, and gadoteridol.

[59] In another embodiment, the present invention provides a method of embodiment [51] wherein the MRI perfusion imaging agent is a compound of embodiment 6 chelated to a paramagnetic metal selected from the group Gd(III), Dy(III), Fe(III) and Mn(II), wherein the compound is unbound to the vitronectin receptor.

[60] In another embodiment, the present invention provides a method of embodiment [1] wherein the concurrent detection of the vitronectin receptor targeted imaging agent bound at the vitronectin receptor and the perfusion imaging agent, is by dual isotope imaging.

Another aspect of the present invention are diagnostic kits for the preparation of radiopharmaceuticals useful as imaging agents for cancer. Diagnostic kits of the present invention comprise one or more vials containing the sterile, non-pyrogenic, formulation comprised of a predetermined amount of a reagent of the present invention, and optionally other components such as one or two ancillary ligands, reducing agents, transfer ligands, buffers, lyophilization aids, stabilization aids, solubilization aids and bacteriostats. The inclusion of one or more optional components in the formulation will frequently improve the ease of synthesis of the radiopharmaceutical by the practicing end user, the ease of manufacturing the kit, the shelf-life of the kit, or the stability and shelf-life of the radiopharmaceutical. The inclusion of one or two ancillary ligands is required for diagnostic kits comprising reagent comprising a hydrazine or hydrazone bonding moiety. The one or more vials that contain all or part of the formulation can independently be in the form of a sterile solution or a lyophilized solid.

Another aspect of the present invention contemplates a method of imaging cancer in a patient involving: (1) synthesizing a diagnostic radiopharmaceutical of the present invention, using a reagent of the present invention, capable of localizing in tumors; (2) administering said radiopharmaceutical to a patient by injection or infusion; (3) imaging the patient using planar or SPECT gamma scintigraphy, or positron emission tomography.

Another aspect of the present invention contemplates a method of imaging cancer in a patient involving: (1) administering a paramagnetic metallopharmaceutical of the present invention capable of localizing in tumors to a patient by injection or infusion; and (2) imaging the patient using magnetic resonance imaging.

Another aspect of the present invention contemplates a method of imaging cancer in a patient involving: (1) administering a X-ray contrast agent of the present invention capable of localizing in tumors to a patient by injection or infusion; and (2) imaging the patient using X-ray computed tomography.

Another aspect of the present invention contemplates a method of imaging cancer in a patient involving: (1) administering a ultrasound contrast agent of the present invention capable of localizing in tumors to a patient by injection or infusion; and (2) imaging the patient using sonography.

In another embodiment of the present invention, a scintigraphic image of a radiolabeled vitronectin antagonist compound is acquired at the same time as a scintigraphic image of a radiolabeled perfusion imaging agent. This simultaneous dual isotope imaging is done by utilizing radioisotopes, which are bound to the vitronectin antagonist compound and the perfusion imaging agent, which have spectrally separable gamma emission energies utilizing a standard gamma camera. This simultaneous imaging of organ (e.g., cardiac) perfusion and sites of angiogenesis (as evidenced by vitronectin antagonist (e.g., α_(v)β₃) compound localization is extremely useful for improved anatomic assessment of the location of sites of neovascularity in relation to the organ perfusion distribution seen on the perfusion image. In addition, the simultaneous imaging of perfusion and endothelial injury and related smooth muscle cell proliferation (associated with upregulation of vitronectin receptors) in the heart, brain or peripheral vasculature allows a more complete assessment of the underlying vascular disease, both in terms of blood flow alterations as well as endothelial injury or atherosclerosis, in a single imaging session on a patient.

Verani U.S. Pat. No. 6,026,317 discloses a variety of perfusion imaging agent, for example: thallium-201, ^(99mTc) teboroxime, ^(99m)Tc sestamibi and ^(99mTc) tetrofosmin. Wester, et al., U.S. Pat. No. 4,765,971 discloses cationic ^(99mTc)-arene complexes useful as myocardial perfusion imaging agents. Also, Iqbal et al., U.S. Pat. No. 5,028,699 discloses the preparation of ^(99m)Tc sestamibi. These agents may be employed as perfusion imaging agents when implementing the present invention.

Unger et al. (U.S. Pat. Nos. 5,527,521, 6,146,657, 5,773,024, 5,769,080, and 5,547,656) disclose a number of ultrasound contrast agents. These agents may be employed as ultrasound perfusion imaging agents when implementing the present invention.

Also, many different magnetic resonance imaging contrast (MRI) agents may be employed as perfusion imaging agents when implementing the present invention; for example, numerous paramagnetic contrast agents are suitable. Gadolinium compounds, for example, paramagnetic gadolinium chelates, such as gadopentetate dimeglumine, gadodiamide, and gadoteridol, are readily available and rapidly redistribute into the extracellular fluid compartment. Other gadolinium compounds are acceptable. Also, gadolinium chelates are commercially available from such companies as Bristol Meyers (under the name “ProHance”), Berlex (under the name “Magnevist”), and Nycomed USA (under the name “OmniScan”).

It is appreciated that certain features of the invention, which are, for clarity, described in the context of separate embodiments, may also be provided in combination in a single embodiment. Conversely, various features of the invention which are for brevity, described in the context of a single embodiment, may also be provided separately or in any subcombination.

DEFINITIONS

The term “dual imaging” means the concurrent imaging of two spectrally separable images wherein one imaging moiety is associated with the vitronectin-receptor targeted imaging agent and the other imaging moiety is associated with an organ perfusion imaging agent.

The term “dual isotope imaging” means the concurrent scintigraphic imaging of two spectrally-separable gamma emitting (including PET) isotopes wherein one isotope is associated with the vitronectin-antagonist radiopharmaceutical and the other isotope is associated with an organ perfusion imaging radiopharmaceutical.

The term “perfusion imaging agent” means a diagnostic metallopharmaceutical or ultrasound imaging agent which distributes within an organ (e.g., heart, brain, kidney) in proportion to the regional blood flow pattern within that organ, allowing for an image to be acquired which represents a picture of relative perfusion of the organ. It can be envisaged the vitronectin receptor targeted imaging agent, which has a suitable paramagnetic metal, could also act as a perfusion imaging agent while it is perfusing through the body and before it binds to the vitronectin receptor.

The term “radiolabeled perfusion imaging agent” means a radiopharmaceutical which distributes within an organ (e.g., heart, brain, kidney) in proportion to the regional blood flow pattern within that organ, allowing for a scintigraphic image to be acquired which represents a picture of relative perfusion of the organ.

The term “site of endothelial damage” means a locus of vascular endothelium wherein the endothelial cells have been damaged by mechanical, hemodynamic or biochemical means.

The term “site of vulnerable plaque” means a vascular region of active atherosclerosis wherein the endothelium has been damaged and localized cellular inflammatory processes are ongoing.

The term “nonpeptide” means preferably less than three amide bonds in the backbone core of the targeting moiety or preferably less than three amino acids or amino acid mimetics in the targeting moiety.

The term “metallopharmaceutical” means a pharmaceutical comprising a metal. The metal is the cause of the imageable signal in diagnostic applications and the source of the cytotoxic radiation in radiotherapeutic applications. Radiopharmaceuticals are metallopharmaceuticals in which the metal is a radioisotope.

By “reagent” is meant a compound of this invention capable of direct transformation into a metallopharmaceutical of this invention. Reagents may be utilized directly for the preparation of the metallopharmaceuticals of this invention or may be a component in a kit of this invention.

The term “binding agent” means a metallopharmaceutical of this invention having affinity for and capable of binding to the vitronectin receptor. The binding agents of this invention have Ki<1000 nM.

By “stable compound” or “stable structure” is meant herein a compound that is sufficiently robust to survive isolation to a useful degree of purity from a reaction mixture, and formulation into an efficacious pharmaceutical agent.

The term “substituted”, as used herein, means that one or more hydrogens on the designated atom or group is replaced with a selection from the indicated group, provided that the designated atom's or group's normal valency is not exceeded, and that the substitution results in a stable compound. When a substituent is keto (i.e., ═O), then 2 hydrogens on the atom are replaced.

The term “bond”, as used herein, means either a single or double bond.

The term “salt”, as used herein, is used as defined in the CRC Handbook of Chemistry and Physics, 65th Edition, CRC Press, Boca Raton, Fla., 1984, as any substance which yields ions, other than hydrogen or hydroxyl ions. As used herein, “pharmaceutically acceptable salts” refer to derivatives of the disclosed compounds modified by making acid or base salts. Examples of pharmaceutically acceptable salts include, but are not limited to, mineral or organic acid salts of basic residues such as amines; alkali or organic salts of acidic residues such as carboxylic acids; and the like.

The phrase “pharmaceutically acceptable” is employed herein to refer to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio.

The phrase “pharmaceutically acceptable prodrugs” as used herein means those prodrugs of the compounds useful according to the present invention which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of humans and lower animals with undue toxicity, irritation, allergic response, and the like, commensurate with a reasonable benefit/risk ratio, and effective for their intended use, as well as the zwitterionic forms, where possible, of the compounds of the invention. The term “prodrug” means compounds that are rapidly transformed in vivo to yield the parent compound of the above formula, for example by hydrolysis in blood. Functional groups which may be rapidly transformed, by metabolic cleavage, in vivo form a class of groups reactive with the carboxyl group of the compounds of this invention. They include, but are not limited to such groups as alkanoyl (such as acetyl, propionyl, butyryl, and the like), unsubstituted and substituted aroyl (such as benzoyl and substituted benzoyl), alkoxycarbonyl (such as ethoxycarbonyl), trialkylsilyl (such as trimethyl- and triethysilyl), monoesters formed with dicarboxylic acids (such as succinyl), and the like. Because of the ease with which the metabolically cleavable groups of the compounds useful according to this invention are cleaved in vivo, the compounds bearing such groups act as pro-drugs. The compounds bearing the metabolically cleavable groups have the advantage that they may exhibit improved bioavailability as a result of enhanced solubility and/or rate of absorption conferred upon the parent compound by virtue of the presence of the metabolically cleavable group. A thorough discussion of prodrugs is provided in the following: Design of Prodrugs, H. Bundgaard, ed., Elsevier, 1985; Methods in Enzymology, K. Widder et al., Ed., Academic Press, 42, p. 309–396, 1985; A Textbook of Drug Design and Development, Krogsgaard-Larsen and H. Bundgaard, ed., Chapter 5; “Design and Applications of Prodrugs” p. 113–191, 1991; Advanced Drug Delivery Reviews, H. Bundgard, 8, p. 1–38, 1992; Journal of Pharmaceutical Sciences, 77, p. 285, 1988; Chem. Pharm. Bull., N. Nakeya et al., 32, p. 692, 1984; Pro-drugs as Novel Delivery Systems, T. Higuchi and V. Stella, Vol. 14 of the A.C.S. Symposium Series, and Bioreversible Carriers in Drug Design, Edward B. Roche, ed., American Pharmaceutical Association and Pergamon Press, 1987, which are incorporated herein by reference.

As used herein, “pharmaceutically acceptable salts” refer to derivatives of the disclosed compounds wherein the parent compound is modified by making acid or base salts thereof. Examples of pharmaceutically acceptable salts include, but are not limited to, mineral or organic acid salts of basic residues such as amines; alkali or organic salts of acidic residues such as carboxylic acids; and the like. The pharmaceutically acceptable salts include the conventional non-toxic salts or the quaternary ammonium salts of the parent compound formed, for example, from non-toxic inorganic or organic acids. For example, such conventional non-toxic salts include those derived from inorganic acids such as hydrochloric, hydrobromic, sulfuric, sulfamic, phosphoric, nitric and the like; and the salts prepared from organic acids such as acetic, propionic, succinic, glycolic, stearic, lactic, tartaric, citric, ascorbic, pamoic, maleic, hydroxymaleic, phenylacetic, glutamic, benzoic, salicylic, sulfanilic, 2-acetoxybenzoic, fumaric, toluenesulfonic, methanesulfonic, ethane disulfonic, oxalic, isethionic, and the like.

The pharmaceutically acceptable salts of the present invention can be synthesized from the parent compound which contains a basic or acidic moiety by conventional chemical methods. Generally, such salts can be prepared by reacting the free acid or base forms of these compounds with a stoichiometric amount of the appropriate base or acid in water or in an organic solvent, or in a mixture of the two; generally, nonaqueous media like ether, ethyl acetate, ethanol, isopropanol, or acetonitrile are preferred. Lists of suitable salts are found in Remington's Pharmaceutical Sciences, 17th ed., Mack Publishing Company, Easton, Pa., 1985, p. 1418, the disclosure of which is hereby incorporated by reference.

As used herein, “alkyl” is intended to include both branched and straight-chain saturated aliphatic hydrocarbon groups having the specified number of carbon atoms, examples of which include, but are not limited to, methyl, ethyl, n-propyl, i-propyl, n-butyl, i-butyl, sec-butyl, t-butyl, pentyl, hexyl, heptyl, octyl, nonyl, and decyl; “cycloalkyl” or “carbocycle” is intended to include saturated and partially unsaturated ring groups, including mono-, bi- or poly-cyclic ring systems, such as cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl and adamantyl; “bicycloalkyl” or “bicyclic” is intended to include saturated bicyclic ring groups such as [3.3.0]bicyclooctane, [4.3.0]bicyclononane, [4.4.0]bicyclodecane (decalin), [2.2.2]bicyclooctane, and so forth.

As used herein, the term “alkene” or “alkenyl” is intended to include hydrocarbon chains having the specified number of carbon atoms of either a straight or branched configuration and one or more unsaturated carbon-carbon bonds which may occur in any stable point along the chain, such as ethenyl, propenyl, and the like.

As used herein, the term “alkyne” or “alkynyl” is intended to include hydrocarbon chains having the specified number of carbon atoms of either a straight or branched configuration and one or more unsaturated carbon-carbon triple bonds which may occur in any stable point along the chain, such as propargyl, and the like.

As used herein, “aryl” or “aromatic residue” is intended to mean phenyl or naphthyl, which when substituted, the substitution can be at any position.

As used herein, the term “heterocycle” or “heterocyclic system” is intended to mean a stable 5- to 7-membered monocyclic or bicyclic or 7- to 10-membered bicyclic heterocyclic ring which is saturated partially unsaturated or unsaturated (aromatic), and which consists of carbon atoms and from 1 to 4 heteroatoms independently selected from the group consisting of N, O and S and including any bicyclic group in which any of the above-defined heterocyclic rings is fused to a benzene ring. The nitrogen and sulfur heteroatoms may optionally be oxidized. The heterocyclic ring may be attached to its pendant group at any heteroatom or carbon atom which results in a stable structure. The heterocyclic rings described herein may be substituted on carbon or on a nitrogen atom if the resulting compound is stable. If specifically noted, a nitrogen in the heterocycle may optionally be quaternized. It is preferred that when the total number of S and O atoms in the heterocycle exceeds 1, then these heteroatoms are not adjacent to one another. It is preferred that the total number of S and O atoms in the heterocycle is not more than 1. As used herein, the term “aromatic heterocyclic system” is intended to mean a stable 5- to 7-membered monocyclic or bicyclic or 7- to 10-membered bicyclic heterocyclic aromatic ring which consists of carbon atoms and from 1 to 4 heteroatoms independently selected from the group consisting of N, O and S. It is preferred that the total number of S and O atoms in the aromatic heterocycle is not more than 1.

Examples of heterocycles include, but are not limited to, 1H-indazole, 2-pyrrolidonyl, 2H,6H-1,5,2-dithiazinyl, 2H-pyrrolyl, 3H-indolyl, 4-piperidonyl, 4aH-carbazole, 4H-quinolizinyl, 6H-1,2,5-thiadiazinyl, acridinyl, azocinyl, benzimidazolyl, benzofuranyl, benzothiofuranyl, benzothiophenyl, benzoxazolyl, benzthiazolyl, benztriazolyl, benztetrazolyl, benzisoxazolyl, benzisothiazolyl, benzimidazalonyl, carbazolyl, 4aH-carbazolyl, β-carbolinyl, chromanyl, chromenyl, cinnolinyl, decahydroquinolinyl, 2H,6H-1,5,2-dithiazinyl, dihydrofuro[2,3-b]tetrahydrofuran, furanyl, furazanyl, imidazolidinyl, imidazolinyl, imidazolyl, 1H-indazolyl, indolenyl, indolinyl, indolizinyl, indolyl, isobenzofuranyl, isochromanyl, isoindazolyl, isoindolinyl, isoindolyl, isoquinolinyl, isothiazolyl, isoxazolyl, morpholinyl, naphthyridinyl, octahydroisoquinolinyl, oxadiazolyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4-oxadiazolyl, oxazolidinyl., oxazolyl, oxazolidinylperimidinyl, phenanthridinyl, phenanthrolinyl, phenarsazinyl, phenazinyl, phenothiazinyl, phenoxathiinyl, phenoxazinyl, phthalazinyl, piperazinyl, piperidinyl, pteridinyl, piperidonyl, 4-piperidonyl, pteridinyl, purinyl, pyranyl, pyrazinyl, pyrazolidinyl, pyrazolinyl, pyrazolyl, pyridazinyl, pyridooxazole, pyridoimidazole; pyridothiazole, pyridinyl, pyridyl, pyrimidinyl, pyrrolidinyl, pyrrolinyl, pyrrolyl, quinazolinyl, quinolinyl, 4H-quinolizinyl, quinoxalinyl, quinuclidinyl, carbolinyl, tetrahydrofuranyl, tetrahydroisoquinolinyl, tetrahydroquinolinyl, 6H-1,2,5-thiadiazinyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, thianthrenyl, thiazolyl, thienyl, thienothiazolyl, thienooxazolyl, thienoimidazolyl, thiophenyl, triazinyl, 1,2,3-triazolyl, 1,2,4-triazolyl, 1,2,5-triazolyl, 1,3,4-triazolyl, xanthenyl. Preferred heterocycles include, but are not limited to, pyridinyl, furanyl, thienyl, pyrrolyl, pyrazolyl, imidazolyl, indolyl, benzimidazolyl, 1H-indazolyl, oxazolidinyl, benzotriazolyl, benzisoxazolyl, oxindolyl, benzoxazolinyl, or isatinoyl. Also included are fused ring and spiro compounds containing, for example, the above heterocycles.

As used herein, the term “alkaryl” means an aryl group bearing an alkyl group of 1–10 carbon atoms; the term “aralkyl” means an alkyl group of 1–10 carbon atoms bearing an aryl group; the term “arylalkaryl” means an aryl group bearing an alkyl group of 1–10 carbon atoms bearing an aryl group; and the term “heterocycloalkyl” means an alkyl group of 1–10 carbon atoms bearing a heterocycle.

A “polyalkylene glycol” is a polyethylene glycol, polypropylene glycol or polybutylene glycol having a molecular weight of less than about 5000, terminating in either a hydroxy or alkyl ether moiety.

A “carbohydrate” is a polyhydroxy aldehyde, ketone, alcohol or acid, or derivatives thereof, including polymers thereof having polymeric linkages of the acetal type.

A “cyclodextrin” is a cyclic oligosaccharide. Examples of cyclodextrins include, but are not limited to, α-cyclodextrin, hydroxyethyl-α-cyclodextrin, hydroxypropyl-α-cyclodextrin, β-cyclodextrin, hydroxypropyl-β-cyclodextrin, carboxymethyl-β-cyclodextrin, dihydroxypropyl-β-cyclodextrin, hydroxyethyl-β-cyclodextrin, 2,6 di-O-methyl-β-cyclodextrin, sulfated-β-cyclodextrin, γ-cyclodextrin, hydroxypropyl-γ-cyclodextrin, dihydroxypropyl-γ-cyclodextrin, hydroxyethyl-γ-cyclodextrin, and sulfated γ-cyclodextrin.

As used herein, the term “polycarboxyalkyl” means an alkyl group having between two and about 100 carbon atoms and a plurality of carboxyl substituents; and the term “polyazaalkyl” means a linear or branched alkyl group having between two and about 100 carbon atoms, interrupted by or substituted with a plurality of amine groups.

A “reducing agent” is a compound that reacts with a radionuclide, which is typically obtained as a relatively unreactive, high oxidation state compound, to lower its oxidation state by transferring electron(s) to the radionuclide, thereby making it more reactive. Reducing agents useful in the preparation of radiopharmaceuticals and in diagnostic kits useful for the preparation of said radiopharmaceuticals include but are not limited to stannous chloride, stannous fluoride, formamidine sulfinic acid, ascorbic acid, cysteine, phosphines, and cuprous or ferrous salts. Other reducing agents are described in Brodack et. al., International Publication No. WO94/22496, which is incorporated herein by reference.

A “transfer ligand” is a ligand that forms an intermediate complex with a metal ion that is stable enough to prevent unwanted side-reactions but labile enough to be converted to a metallopharmaceutical. The formation of the intermediate complex is kinetically favored while the formation of the metallopharmaceutical is thermodynamically favored. Transfer ligands useful in the preparation of metallopharmaceuticals and in diagnostic kits useful for the preparation of diagnostic radiopharmaceuticals include but are not limited to gluconate, glucoheptonate, mannitol, glucarate, N,N,N′,N′-ethylenediaminetetraacetic acid, pyrophosphate and methylenediphosphonate. In general, transfer ligands are comprised of oxygen or nitrogen donor atoms.

The term “donor atom” refers to the atom directly attached to a metal by a chemical bond.

“Ancillary” or “co-ligands” are ligands that are incorporated into a radiopharmaceutical during its synthesis. They serve to complete the coordination sphere of the radionuclide together with the chelator or radionuclide bonding unit of the reagent. For radiopharmaceuticals comprised of a binary ligand system, the radionuclide coordination sphere is composed of one or more chelators or bonding units from one or more reagents and one or more ancillary or co-ligands, provided that there are a total of two types of ligands, chelators or bonding units. For example, a radiopharmaceutical comprised of one chelator or bonding unit from one reagent and two of the same ancillary or co-ligands and a radiopharmaceutical comprised of two chelators or bonding units from one or two reagents and one ancillary or co-ligand are both considered to be comprised of binary ligand systems. For radiopharmaceuticals comprised of a ternary ligand system, the radionuclide coordination sphere is composed of one or more chelators or bonding units from one or more reagents and one or more of two different types of ancillary or co-ligands, provided that there are a total of three types of ligands, chelators or bonding units. For example, a radiopharmaceutical comprised of one chelator or bonding unit from one reagent and two different ancillary or co-ligands is considered to be comprised of a ternary ligand system.

Ancillary or co-ligands useful in the preparation of radiopharmaceuticals and in diagnostic kits useful for the preparation of said radiopharmaceuticals are comprised of one or more oxygen, nitrogen, carbon, sulfur, phosphorus, arsenic, selenium, and tellurium donor atoms. A ligand can be a transfer ligand in the synthesis of a radiopharmaceutical and also serve as an ancillary or co-ligand in another radiopharmaceutical. Whether a ligand is termed a transfer or ancillary or co-ligand depends on whether the ligand remains in the radionuclide coordination sphere in the radiopharmaceutical, which is determined by the coordination chemistry of the radionuclide and the chelator or bonding unit of the reagent or reagents.

A “chelator” or “bonding unit” is the moiety or group on a reagent that binds to a metal ion through the formation of chemical bonds with one or more donor atoms.

The term “binding site” means the site in vivo or in vitro that binds a biologically active molecule.

A “diagnostic kit” or “kit” comprises a collection of components, termed the formulation, in one or more vials which are used by the practicing end user in a clinical or pharmacy setting to synthesize diagnostic radiopharmaceuticals. The kit provides all the requisite components to synthesize and use the diagnostic radiopharmaceutical except those that are commonly available to the practicing end user, such as water or saline for injection, a solution of the radionuclide, equipment for heating the kit during the synthesis of the radiopharmaceutical, if required, equipment necessary for administering the radiopharmaceutical to the patient such as syringes and shielding, and imaging equipment.

Therapeutic radiopharmaceuticals, X-ray contrast agent pharmaceuticals, ultrasound contrast agent pharmaceuticals and metallopharmaceuticals for magnetic resonance imaging contrast are provided to the end user in their final form in a formulation contained typically in one vial, as either a lyophilized solid or an aqueous solution. The end user reconstitutes the lyophilized with water or saline and withdraws the patient dose or just withdraws the dose from the aqueous solution formulation as provided.

A “lyophilization aid” is a component that has favorable physical properties for lyophilization, such as the glass transition temperature, and is added to the formulation to improve the physical properties of the combination of all the components of the formulation for lyophilization.

A “stabilization aid” is a component that is added to the metallopharmaceutical or to the diagnostic kit either to stabilize the metallopharmaceutical or to prolong the shelf-life of the kit before it must be used. Stabilization aids can be antioxidants, reducing agents or radical scavengers and can provide improved stability by reacting preferentially with species that degrade other components or the metallopharmaceutical.

A “solubilization aid” is a component that improves the solubility of one or more other components in the medium required for the formulation.

A “bacteriostat” is a component that inhibits the growth of bacteria in a formulation either during its storage before use of after a diagnostic kit is used to synthesize a radiopharmaceutical.

The following abbreviations are used herein:

Acm acetamidomethyl b-Ala, beta-Ala 3-aminopropionic acid or bAla ATA 2-aminothiazole-5-acetic acid or 2- aminothiazole-5-acetyl group Boc t-butyloxycarbonyl CBZ, Cbz or Z Carbobenzyloxy Cit citrulline Dap 2,3-diaminopropionic acid DCC dicyclohexylcarbodiimide DIEA diisopropylethylamine DMAP 4-dimethylaminopyridine EOE ethoxyethyl HBTU 2-(1H-Benzotriazol-1-yl)-1,1,3,3- tetramethyluronium hexafluorophosphate boc-hydrazinonicotinyl group or 2- hynic [carbonyl]-2- [[[5- pyridinyl]hydrazono]methyl]- benzenesulfonic acid, NMeArg or MeArga-N-methyl arginine NMeAsp a-N-methyl aspartic acid NMM N-methylmorpholine OcHex O-cyclohexyl OBzl O-benzyl oSu O-succinimidyl TBTU 2-(1H-Benzotriazol-1-yl)-1,1,3,3- tetramethyluronium tetrafluoroborate THF tetrahydrofuranyl THP tetrahydropyranyl Tos tosyl Tr trityl

The following conventional three-letter amino acid abbreviations are used herein; the conventional one-letter amino acid abbreviations are NOT used herein:

Ala = alanine Arg = arginine Asn = asparagine Asp = aspartic acid Cys = cysteine Gln = glutamine Glu = glutamic acid Gly = glycine His = histidine Ile = isoleucine Leu = leucine Lys = lysine Met = methionine Nle = norleucine Orn = ornithine Phe = phenylalanine Phg = phenylglycine Pro = proline Sar = sarcosine Ser = serine Thr = threonine Trp = tryptophan Tyr = tyrosine Val = valine

As used herein, the term “bubbles”, as used herein, refers to vesicles which are generally characterized by the presence of one or more membranes or walls surrounding an internal void that is filled with a gas or precursor thereto. Exemplary bubbles include, for example, liposomes, micelles and the like.

As used herein, the term “lipid” refers to a synthetic or naturally-occurring amphipathic compound which comprises a hydrophilic component and a hydrophobic component. Lipids include, for example, fatty acids, neutral fats, phosphatides, glycolipids, aliphatic alcohols and waxes, terpenes and steroids.

As used herein, the term “lipid composition” refers to a composition which comprises a lipid compound. Exemplary lipid compositions include suspensions, emulsions and vesicular compositions.

As used herein, the term “lipid formulation” refers to a composition which comprises a lipid compound and a bioactive agent.

As used herein, the term “vesicle” refers to a spherical entity which is characterized by the presence of an internal void. Preferred vesicles are formulated from lipids, including the various lipids described herein. In any given vesicle, the lipids may be in the form of a monolayer or bilayer, and the mono- or bilayer lipids may be used to form one of more mono- or bilayers. In the case of more than one mono- or bilayer, the mono- or bilayers are generally concentric. The lipid vesicles described herein include such entities commonly referred to as liposomes, micelles, bubbles, microbubbles, microspheres and the like. Thus, the lipids may be used to form a unilamellar vesicle (comprised of one monolayer or bilayer), an oligolamellar vesicle (comprised of about two or about three monolayers or bilayers) or a multilamellar vesicle (comprised of more than about three monolayers or bilayers). The internal void of the vesicles may be filled with a liquid, including, for example, an aqueous liquid, a gas, a gaseous precursor, and/or a solid or solute material, including, for example, a bioactive agent, as desired.

As used herein, the term “vesicular composition” refers to a composition which is formulate from lipids and which comprises vesicles.

As used herein, the term “vesicle formulation” refers to a composition which comprises vesicles and a bioactive agent.

As used herein, the term “liposomes” refers to a generally spherical cluster or aggregate of amphipathic compounds, including lipid compounds, typically in the form of one or more concentric layers, for example, bilayers. They may also be referred to herein as lipid vesicles.

Angiogenesis is the process of formation of new capillary blood vessels from existing vasculature. It is an important component of a variety of physiological processes including ovulation, embryonic development, wound repair, and collateral vascular generation in the myocardium. It is also central to a number of pathological conditions such as tumor growth and metastasis, diabetic retinopathy, and macular degeneration. The process begins with the activation of existing vascular endothelial cells in response to a variety of cytokines and growth factors. The activated endothelial cells secrete enzymes that degrade the basement membrane of the vessels. The endothelial cells then proliferate and migrate into the extracellular matrix first forming tubules and subsequently new blood vessels.

Under normal conditions, endothelial cell proliferation is a very slow process, but it increases for a short period of time during embryogenesis, ovulation and wound healing. This temporary increase in cell turnover is governed by a combination of a number of growth stimulatory factors and growth suppressing factors. In pathological angiogenesis, this normal balance is disrupted resulting in continued increased endothelial cell proliferation. Some of the pro-angiogenic factors that have been identified include basic fibroblast growth factor (bFGF), angiogenin, TGF-alpha, TGF-beta, and vascular endothelium growth factor (VEGF), while interferon-alpha, interferon-beta and thrombospondin are examples of angiogenesis suppressors.

Angiogenic factors interact with endothelial cell surface receptors such as the receptor tyrosine kinases EGFR, FGFR, PDGFR, Flk-1/KDR, Flt-1, Tek, Tie, neuropilin-1, endoglin, endosialin, and Axl. The receptors Flk-1/KDR, neuropilin-1, and Flt-1 recognize VEGF and these interactions play key roles in VEGF-induced angiogenesis. The Tie subfamily of receptor tyrosine kinases are also expressed prominently during blood vessel formation.

The proliferation and migration of endothelial cells in the extracellular matrix is mediated by interaction with a variety of cell adhesion molecules. Integrins are a diverse family of heterodimeric cell surface receptors by which endothelial cells attach to the extracellular matrix, each other and other cells. Angiogenesis induced by bFGF or TNF-alpha depend on the agency of the integrin avb3, while angiogenesis induced by VEGF depends on the integrin avb5 (Cheresh et. al., Science, 1995, 270, 1500–2). Induction of expression of the integrins a1b1 and a2b1 on the endothelial cell surface is another important mechanism by which VEGF promotes angiogenesis (Senger, et. al., Proc. Natl. Acad, Sci USA, 1997, 94, 13612–7).

The pharmaceuticals of the present invention are comprised of a non-peptide targeting moiety for the vitronectin receptor that is expressed or upregulated in angiogenic tumor vasculature.

The ultrasound contrast agents of the present invention comprise a plurality of vitronectin receptor targeting moieties attached to or incorporated into a microbubble of a biocompatible gas, a liquid carrier, and a surfactant microsphere, further comprising an optional linking moiety, L_(n), between the targeting moieties and the microbubble. In this context, the term liquid carrier means aqueous solution and the term surfactant means any amphiphilic material which produces a reduction in interfacial tension in a solution. A list of suitable surfactants for forming surfactant microspheres is disclosed in EP0727225A2, herein incorporated by reference. The term surfactant microsphere includes nanospheres, liposomes, vesicles and the like. The biocompatible gas can be air, or a fluorocarbon, such as a C₃–C₅ perfluoroalkane, which provides the difference in echogenicity and thus the contrast in ultrasound imaging. The gas is encapsulated or contained in the microsphere to which is attached the biodirecting group, optionally via a linking group. The attachment can be covalent, ionic or by van der Waals forces. Specific examples of such contrast agents include lipid encapsulated perfluorocarbons with a plurality of tumor neovasculature receptor binding peptides, polypeptides or peptidomimetics.

X-ray contrast agents of the present invention are comprised of one or more vitronectin receptor targeting moieties attached to one or more X-ray absorbing or “heavy” atoms of atomic number 20 or greater, further comprising an optional linking moiety, L_(n), between the targeting moieties and the X-ray absorbing atoms. The frequently used heavy atom in X-ray contrast agents is iodine. Recently, X-ray contrast agents comprised of metal chelates (Wallace, R., U.S. Pat. No. 5,417,959) and polychelates comprised of a plurality of metal ions (Love, D., U.S. Pat. No. 5,679,810) have been disclosed. More recently, multinuclear cluster complexes have been disclosed as X-ray contrast agents (U.S. Pat. No. 5,804,161, International Publication No. WO91/14460, and International Publication No. WO92/17215).

MRI contrast agents of the present invention are comprised of one or more vitronectin receptor targeting moieties attached to one or more paramagnetic metal ions, further comprising an optional linking moiety, L_(n), between the targeting moieties and the paramagnetic metal ions. The paramagnetic metal ions are present in the form of metal complexes or metal oxide particles. U.S. Pat. Nos. 5,412,148, and 5,760,191, describe examples of chelators for paramagnetic metal ions for use in MRI contrast agents. U.S. Pat. Nos. 5,801,228, 5,567,411, and 5,281,704 describe examples of polychelants useful for complexing more than one paramagnetic metal ion for use in MRI contrast agents. U.S. Pat. No. 5,520,904, describes particulate compositions comprised of paramagnetic metal ions for use as MRI contrast agents.

Administration of a diagnostic compound of the present invention in combination with such additional diagnostic agents, may afford an efficacy advantage over the diagnostic compounds and diagnostic agents alone, and may do so while permitting the use of lower doses of each. A lower dosage minimizes the potential of side effects, thereby providing an increased margin of safety. The combination of a diagnostic compound of the present invention with such additional diagnostic agents is preferably a synergistic combination. In general, a synergistic effect is most clearly demonstrated at levels that are (diagnostically) sub-optimal for either the diagnostic compound of the present invention and a perfusion imaging agent alone, but which are highly efficacious in combination. Synergy can be in terms of improved diagnostic imaging without substantial increases in toxicity over individual imaging agents alone, or some other beneficial effect of the combination compared with the individual components.

The invention also provides kits or single packages combining two or more active ingredients useful in diagnostic imaging. A kit may provide (alone or in combination with a pharmaceutically acceptable diluent or carrier), the diagnostic compound of the present invention and additionally a perfusion imaging agent.

The invention also provides for a novel method of concurrent dual isotope imaging of vitronectin receptors and organ perfusion wherein the isotope which is attached to the vitronectin antagonist of the present invention and the isotope of the perfusion imaging agent are spectrally separable on a scintigraphic camera. This method will allow for the concurrent imaging of organ perfusion together with detecting and localizing sites of endothelial injury, angiogenesis and/or active atherosclerosis.

For example, a Tc99m cardiac perfusion imaging agent (such as Tc99m-Sestamibi) or T1201 (as Thallous Chloride), and an In111-labeled α_(v)β₃ receptor-targeted compound would be imaged simultaneously with a standard gamma camera. This is possible because the Tc99m gamma energy of ˜140 KeV or the T1201 gamma energy of ˜80 KeV are easily separable from the In111 gamma energies of ˜170 KeV and 250 KeV. This simultaneous imaging of cardiac perfusion together with the sites of endothelial damage, vulnerable plaque or angiogenesis (as evidenced by α_(v)β₃ compound localization) is extremely useful for improved anatomic assessment of the location of the α_(v)β₃ compound distribution in the heart based on the comparison to the perfusion distribution seen on the Tc99m-Sestamibi or T1201 image. In addition, the simultaneous imaging of perfusion and endothelial injury or vulnerable plaque in the heart allows a more complete assessment of the underlying cardiac disease, both in terms of blood flow alterations and endothelial injury or angiogenesis changes, in a single imaging session on a patient.

The simultaneous dual-isotope imaging of cardiac perfusion and α_(v)β₃ receptor upregulation allows the localization of sites of vulnerable plaque, mechanical injury post-intervention or sites of neovascularization along with cardiac perfusion to be visualized during one imaging session. In addition, monitoring the response to therapy, such as imaging therapeutic angiogenesis along with myocardial perfusion is extremely useful if the distribution of the two radiopharmaceuticals are imaged simultaneously so that the spatial correlation of the images is more exact than comparing two serially acquired images. In this way an image of perfusion and the α_(v)β₃ receptor targeted compound are exactly registered with one another.

The simultaneous imaging of different radioisotopically-labeled radiopharmaceuticals in patients is not new. For example, Antunes (Antunes M L, Johnson L L, Seldin D W, et al. Am J. Cardiol 1992; 70: 426–431) have demonstrated that it is possible to image myocardial infarction with an In111-antimyosin antibody along with the imaging of cardiac perfusion with T1201. However, the dual isotope imaging of the present invention is new, because it is the first reported approach to the simultaneous, dual isotope imaging of a radiolabeled α_(v)β₃ compound and a cardiac perfusion imaging compound. The combination of α_(v)β₃ scintigraphic imaging with perfusion imaging provides the imaging physician with an extraordinary amount of clinical information regarding ischemic coronary artery disease and/or the efficacy of angiogeneic therapies in one imaging session.

The diagnostic pharmaceuticals of the present invention have the formulae, (Q)_(d)-L_(n)-(C_(h)—X), (Q)_(d)-L_(n)-(C_(h)—X¹)_(d′), (Q)_(d)-L_(n)-(X²)_(d″), and (Q)_(d)-L_(n)-(X³), wherein Q represents a non-peptide that binds to a receptor expressed in angiogenic tumor vasculature, d is 1–10, L_(n) represents an optional linking group, C_(h) represents a metal chelator or bonding moiety, X represents a radioisotope, X¹ represents paramagnetic metal ion, X² represents a paramagnetic metal ion or heavy atom containing insoluble solid particle, d″ is 1–100, and X³ represents a surfactant microsphere of an echogenic gas. The interaction of the non-peptide recognition sequences of the vitronectin receptor binding portion of the pharmaceuticals with the αvβ3 receptor results in localization of the pharmaceuticals in angiogenic tumor vasculature, which express the αvβ3 receptor.

The diagnostic compounds herein described may have asymmetric centers. Unless otherwise indicated, all chiral, diastereomeric and racemic forms are included in the present invention. Many geometric isomers of olefins, C═N double bonds, and the like can also be present in the compounds described herein, and all such stable isomers are contemplated in the present invention. It will be appreciated that compounds of the present invention contain asymmetrically substituted carbon atoms, and may be isolated in optically active or racemic forms. It is well known in the art how to prepare optically active forms, such as by resolution of racemic forms or by synthesis from optically active starting materials. Two distinct isomers (cis and trans) of the peptide bond are known to occur; both can also be present in the compounds described herein, and all such stable isomers are contemplated in the present invention. The D and L-isomers of a particular amino acid are designated herein using the conventional 3-letter abbreviation of the amino acid, as indicated by the following examples: D-Leu, or L-Leu.

When any variable occurs more than one time in any substituent or in any formula, its definition on each occurrence is independent of its definition at every other occurrence. Thus, for example, if a group is shown to be substituted with 0–2 R⁵², then said group may optionally be substituted with up to two R⁵², and R⁵² at each occurrence is selected independently from the defined list of possible R⁵². Also, by way of example, for the group —N(R⁵³)₂, each of the two R⁵³ substituents on N is independently selected from the defined list of possible R⁵³. Combinations of substituents and/or variables are permissible only if such combinations result in stable compounds. When a bond to a substituent is shown to cross the bond connecting two atoms in a ring, then such substituent may be bonded to any atom on the ring.

The diagnostic pharmaceuticals of the present invention can be synthesized by several approaches. One approach involves the synthesis of the targeting non-peptide moiety, Q, and direct attachment of one or more moieties, Q, to one or more metal chelators or bonding moieties, C_(h), or to a paramagnetic metal ion or heavy atom containing solid particle, or to an echogenic gas microbubble. Another approach involves the attachment of one or more moieties, Q, to the linking group, L_(n), which is then attached to one or more metal chelators or bonding moieties, C_(h), or to a paramagnetic metal ion or heavy atom containing solid particle, or to an echogenic gas microbubble. Another approach involves the synthesis of a non-peptide, Q, bearing a fragment of the linking group, L_(n), one or more of which are then attached to the remainder of the linking group and then to one or more metal chelators or bonding moieties, C_(h), or to a paramagnetic metal ion or heavy atom containing solid particle, or to an echogenic gas microbubble.

The non-peptide vitronectin binding moieties, Q, optionally bearing a linking group, L_(n), or a fragment of the linking group, can be synthesized using standard synthetic methods known to those skilled in the art. Preferred methods include but are not limited to those methods described below.

The attachment of linking groups, L_(n), to the non-peptides, Q; chelators or bonding units, C_(h), to the non-peptides, Q, or to the linking groups, L_(n); and non-peptides, bearing a fragment of the linking group to the remainder of the linking group, in combination forming the moiety, (Q)_(d)-L_(n), and then to the moiety C_(h); can all be performed by standard techniques. These include, but are not limited to, amidation, esterification, alkylation, and the formation of ureas or thioureas. Procedures for performing these attachments can be found in Brinkley, M., Bioconjugate Chemistry 1992, 3(1), which is incorporated herein by reference.

A number of methods can be used to attach the non-peptides, Q, to paramagnetic metal ion or heavy atom containing solid particles, X², by one of skill in the art of the surface modification of solid particles. In general, the targeting moiety Q or the combination (Q)_(d)L_(n) is attached to a coupling group that react with a constituent of the surface of the solid particle. The coupling groups can be any of a number of silanes which react with surface hydroxyl groups on the solid particle surface, as described in U.S. Pat. No. 6,254,852, and can also include polyphosphonates, polycarboxylates, polyphosphates or mixtures thereof which couple with the surface of the solid particles, as described in U.S. Pat. No. 5,520,904.

A number of reaction schemes can be used to attach the non-peptides, Q, to the surfactant microsphere, X³. These are illustrated in following reaction schemes where S_(f) represents a surfactant moiety that forms the surfactant microsphere.

Acylation Reaction: S_(f)—C(═O)—Y+Q-NH₂ or →S_(f)—C(═O)—NH-Q Q-OH or S_(f)—C(═O)—O-Q Y is a leaving group or active ester Disulfide Coupling: S_(f)—SH+Q-SH →S_(f)—S—S-Q Sulfonamide Coupling: S_(f)—S(═O)₂—Y+Q-NH₂→S_(f)—S(═O)₂—NH-Q Reductive Amidation: S_(f)—CHO+Q-NH₂→S_(f)—NH-Q In these reaction schemes, the substituents S_(f) and Q can be reversed as well.

The linking group L_(n) can serve several roles. First it provides a spacing group between the metal chelator or bonding moiety, C_(h), the paramagnetic metal ion or heavy atom containing solid particle, X², and the surfactant microsphere, X³, and the one or more of the non-peptides, Q, so as to minimize the possibility that the moieties C_(h)—X, C_(h)—X¹, X², and X³, will interfere with the interaction of the recognition sequences of Q with angiogenic tumor vasculature receptors. The necessity of incorporating a linking group in a reagent is dependent on the identity of Q, C_(h)—X, C_(h)—X¹, X², and X³. If C_(h)—X, C_(h)—X¹, X², and X³, cannot be attached to Q without substantially diminishing its affinity for the receptors, then a linking group is used. A linking group also provides a means of independently attaching multiple non-peptides, Q, to one group that is attached to C_(h)—X, C_(h)—X¹, X², or X³.

The linking group also provides a means of incorporating a pharmacokinetic modifier into the pharmaceuticals of the present invention. The pharmacokinetic modifier serves to direct the biodistribution of the injected pharmaceutical other than by the interaction of the targeting moieties, Q, with the vitronectin receptors expressed in the tumor neovasculature. A wide variety of functional groups can serve as pharmacokinetic modifiers, including, but not limited to, carbohydrates, polyalkylene glycols, peptides or other polyamino acids, and cyclodextrins. The modifiers can be used to enhance or decrease hydrophilicity and to enhance or decrease the rate of blood clearance. The modifiers can also be used to direct the route of elimination of the pharmaceuticals. Preferred pharmacokinetic modifiers are those that result in moderate to fast blood clearance and enhanced renal excretion.

The metal chelator or bonding moiety, C_(h), is selected to form stable complexes with the metal ion chosen for the particular application. Chelators or bonding moieties for diagnostic radiopharmaceuticals are selected to form stable complexes with the radioisotopes that have imageable gamma ray or positron emissions, such as ^(99m)Tc, ⁹⁵Tc, ¹¹¹In, ⁶²Cu, ⁶⁰Cu, ⁶⁴Cu, ⁶⁷Ga, ⁶⁸Ga, ⁸⁶Y.

Chelators for technetium, copper and gallium isotopes are selected from diaminedithiols, monoamine-monoamidedithiols, triamide-monothiols, monoamine-diamide-monothiols, diaminedioximes, and hydrazines. The chelators are generally tetradentate with donor atoms selected from nitrogen, oxygen and sulfur. Preferred reagents are comprised of chelators having amine nitrogen and thiol sulfur donor atoms and hydrazine bonding units. The thiol sulfur atoms and the hydrazines may bear a protecting group which can be displaced either prior to using the reagent to synthesize a radiopharmaceutical or preferably in situ during the synthesis of the radiopharmaceutical.

Exemplary thiol protecting groups include those listed in Greene and Wuts, “Protective Groups in Organic Synthesis” John Wiley & Sons, New York (1991), the disclosure of which is hereby incorporated by reference. Any thiol protecting group known in the art can be used. Examples of thiol protecting groups include, but are not limited to, the following: acetamidomethyl, benzamidomethyl, 1-ethoxyethyl, benzoyl, and triphenylmethyl.

Exemplary protecting groups for hydrazine bonding units are hydrazones which can be aldehyde or ketone hydrazones having substituents selected from hydrogen, alkyl, aryl and heterocycle. Particularly preferred hydrazones are described in Sworin et al., U.S. Pat. No. 5,750,088, the disclosure of which is herein incorporated by reference in its entirety.

The hydrazine bonding unit when bound to a metal radionuclide is termed a hydrazido, or diazenido group and serves as the point of attachment of the radionuclide to the remainder of the radiopharmaceutical. A diazenido group can be either terminal (only one atom of the group is bound to the radionuclide) or chelating. In order to have a chelating diazenido group at least one other atom of the group must also be bound to the radionuclide. The atoms bound to the metal are termed donor atoms.

Chelators for ¹¹¹In and ⁸⁶Y are selected from cyclic and acyclic polyaminocarboxylates such as DTPA, DOTA, DO3A, 2-benzyl-DOTA, alpha-(2-phenethyl)1,4,7,10-tetraazazcyclododecane-1-acetic-4,7,10-tris(methylacetic)acid, 2-benzyl-cyclohexyldiethylenetriaminepentaacetic acid, 2-benzyl-6-methyl-DTPA, and 6,6″-bis[N,N,N″,N″-tetra(carboxymethyl)aminomethyl)-4′-(3-amino-4-methoxyphenyl)-2,2′:6′,2″-terpyridine. Procedures for synthesizing these chelators that are not commercially available can be found in Brechbiel, M. and Gansow, O., J. Chem. Soc. Perkin Trans. 1992, 1, 1175; Brechbiel, M. and Gansow, O., Bioconjugate Chem. 1991, 2, 187; Deshpande, S., et. al., J. Nucl. Med. 1990, 31, 473; Kruper, J., U.S. Pat. No. 5,064,956, and Toner, J., U.S. Pat. No. 4,859,777, the disclosures of which are hereby incorporated by reference in their entirety.

The coordination sphere of metal ion includes all the ligands or groups bound to the metal. For a transition metal radionuclide to be stable it typically has a coordination number (number of donor atoms) comprised of an integer greater than or equal to 4 and less than or equal to 8; that is there are 4 to 8 atoms bound to the metal and it is said to have a complete coordination sphere. The requisite coordination number for a stable radionuclide complex is determined by the identity of the radionuclide, its oxidation state, and the type of donor atoms. If the chelator or bonding unit does not provide all of the atoms necessary to stabilize the metal radionuclide by completing its coordination sphere, the coordination sphere is completed by donor atoms from other ligands, termed ancillary or co-ligands, which can also be either terminal or chelating.

A large number of ligands can serve as ancillary or co-ligands, the choice of which is determined by a variety of considerations such as the ease of synthesis of the radiopharmaceutical, the chemical and physical properties of the ancillary ligand, the rate of formation, the yield, and the number of isomeric forms of the resulting radiopharmaceuticals, the ability to administer said ancillary or co-ligand to a patient without adverse physiological consequences to said patient, and the compatibility of the ligand in a lyophilized kit formulation. The charge and lipophilicity of the ancillary ligand will effect the charge and lipophilicity of the radiopharmaceuticals. For example, the use of 4,5-dihydroxy-1,3-benzene disulfonate results in radiopharmaceuticals with an additional two anionic groups because the sulfonate groups will be anionic under physiological conditions. The use of N-alkyl substituted 3,4-hydroxypyridinones results in radiopharmaceuticals with varying degrees of lipophilicity depending on the size of the alkyl substituents.

Preferred technetium radiopharmaceuticals of the present invention are comprised of a hydrazido or diazenido bonding unit and an ancillary ligand, A_(L1), or a bonding unit and two types of ancillary A_(L1) and A_(L2), or a tetradentate chelator comprised of two nitrogen and two sulfur atoms. Ancillary ligands A_(L1) are comprised of two or more hard donor atoms such as oxygen and amine nitrogen (sp³ hybridized). The donor atoms occupy at least two of the sites in the coordination sphere of the radionuclide metal; the ancillary ligand A_(L1) serves as one of the three ligands in the ternary ligand system. Examples of ancillary ligands A_(L1) include but are not limited to dioxygen ligands and functionalized aminocarboxylates. A large number of such ligands are available from commercial sources.

Ancillary dioxygen ligands include ligands that coordinate to the metal ion through at least two oxygen donor atoms. Examples include but are not limited to: glucoheptonate, gluconate, 2-hydroxyisobutyrate, lactate, tartrate, mannitol, glucarate, maltol, Kojic acid, 2,2-bis(hydroxymethyl)propionic acid, 4,5-dihydroxy-1,3-benzene disulfonate, or substituted or unsubstituted 1,2 or 3,4 hydroxypyridinones. (The names for the ligands in these examples refer to either the protonated or non-protonated forms of the ligands.)

Functionalized aminocarboxylates include ligands that have a combination of amine nitrogen and oxygen donor atoms. Examples include but are not limited to: iminodiacetic acid, 2,3-diaminopropionic acid, nitrilotriacetic acid, N,N′-ethylenediamine diacetic acid, N,N,N′-ethylenediamine triacetic acid, hydroxyethylethylenediamine triacetic acid, and N,N′-ethylenediamine bis-hydroxyphenylglycine. (The names for the ligands in these examples refer to either the protonated or non-protonated forms of the ligands.)

A series of functionalized aminocarboxylates are disclosed by Bridger et. al. in U.S. Pat. No. 5,350,837, herein incorporated by reference, that result in improved rates of formation of technetium labeled hydrazino modified proteins. We have determined that certain of these aminocarboxylates result in improved yields of the radiopharmaceuticals of the present invention. The preferred ancillary ligands A_(L1) functionalized aminocarboxylates that are derivatives of glycine; the most preferred is tricine (tris(hydroxymethyl)methylglycine).

The most preferred technetium radiopharmaceuticals of the present invention are comprised of a hydrazido or diazenido bonding unit and two types of ancillary designated A_(L1) and A_(L2), or a diaminedithiol chelator. The second type of ancillary ligands A_(L2) are comprised of one or more soft donor atoms selected from the group: phosphine phosphorus, arsine arsenic, imine nitrogen (sp² hybridized), sulfur (sp² hybridized) and carbon (sp hybridized); atoms which have p-acid character. Ligands A_(L2) can be monodentate, bidentate or tridentate, the denticity is defined by the number of donor atoms in the ligand. One of the two donor atoms in a bidentate ligand and one of the three donor atoms in a tridentate ligand must be a soft donor atom. We have disclosed in U.S. Pat. No. 5,744,120, International Publication WO97/33627, and U.S. Pat. No. 5,879,659, the disclosures of which are herein incorporated by reference in their entirety, that radiopharmaceuticals comprised of one or more ancillary or co-ligands A_(L2) are more stable compared to radiopharmaceuticals that are not comprised of one or more ancillary ligands, A_(L2); that is, they have a minimal number of isomeric forms, the relative ratios of which do not change significantly with time, and that remain substantially intact upon dilution.

The ligands A_(L2) that are comprised of phosphine or arsine donor atoms are trisubstituted phosphines, trisubstituted arsines, tetrasubstituted diphosphines and tetrasubstituted diarsines. The ligands A_(L2) that are comprised of imine nitrogen are unsaturated or aromatic nitrogen-containing, 5 or 6-membered heterocycles. The ligands that are comprised of sulfur (sp² hybridized) donor atoms are thiocarbonyls, comprised of the moiety C═S. The ligands comprised of carbon (sp hybridized) donor atoms are isonitriles, comprised of the moiety CNR, where R is an organic radical. A large number of such ligands are available from commercial sources. Isonitriles can be synthesized as described in European Patent 0107734 and in U.S. Pat. No. 4,988,827, herein incorporated by reference.

Preferred ancillary ligands A_(L2) are trisubstituted phosphines and unsaturated or aromatic 5 or 6 membered heterocycles. The most preferred ancillary ligands A_(L2) are trisubstituted phosphines and unsaturated 5 membered heterocycles.

The ancillary ligands A_(L2) may be substituted with alkyl, aryl, alkoxy, heterocycle, aralkyl, alkaryl and arylalkaryl groups and may or may not bear functional groups comprised of heteroatoms such as oxygen, nitrogen, phosphorus or sulfur. Examples of such functional groups include but are not limited to: hydroxyl, carboxyl, carboxamide, nitro, ether, ketone, amino, ammonium, sulfonate, sulfonamide, phosphonate, and phosphonamide. The functional groups may be chosen to alter the lipophilicity and water solubility of the ligands which may affect the biological properties of the radiopharmaceuticals, such as altering the distribution into non-target tissues, cells or fluids, and the mechanism and rate of elimination from the body.

Chelators for magnetic resonance imaging contrast agents are selected to form stable complexes with paramagnetic metal ions, such as Gd(III), Dy(III), Fe(III), and Mn(II), are selected from cyclic and acyclic polyaminocarboxylates such as DTPA, DOTA, DO3A, 2-benzyl-DOTA, alpha-(2-phenethyl)1,4,7,10-tetraazacyclododecane-1-acetic-4,7,10-tris(methylacetic)acid, 2-benzyl-cyclohexyldiethylenetriaminepentaacetic acid, 2-benzyl-6-methyl-DTPA, and 6,6″-bis[N,N,N″,N″-tetra(carboxymethyl)aminomethyl)-4′-(3-amino-4-methoxyphenyl)-2,2′:6′,2″-terpyridine.

The technetium and rhenium radiopharmaceuticals of the present invention comprised of a hydrazido or diazenido bonding unit can be easily prepared by admixing a salt of a radionuclide, a reagent of the present invention, an ancillary ligand A_(L1), an ancillary ligand A_(L2), and a reducing agent, in an aqueous solution at temperatures from 0 to 100° C. The technetium and rhenium radiopharmaceuticals of the present invention comprised of a tetradentate chelator having two nitrogen and two sulfur atoms can be easily prepared by admixing a salt of a radionuclide, a reagent of the present invention, and a reducing agent, in an aqueous solution at temperatures from 0 to 100° C.

When the bonding unit in the reagent of the present invention is present as a hydrazone group, then it must first be converted to a hydrazine, which may or may not be protonated, prior to complexation with the metal radionuclide. The conversion of the hydrazone group to the hydrazine can occur either prior to reaction with the radionuclide, in which case the radionuclide and the ancillary or co-ligand or ligands are combined not with the reagent but with a hydrolyzed form of the reagent bearing the chelator or bonding unit, or in the presence of the radionuclide in which case the reagent itself is combined with the radionuclide and the ancillary or co-ligand or ligands. In the latter case, the pH of the reaction mixture must be neutral or acidic.

Alternatively, the radiopharmaceuticals of the present invention comprised of a hydrazido or diazenido bonding unit can be prepared by first admixing a salt of a radionuclide, an ancillary ligand A_(L1), and a reducing agent in an aqueous solution at temperatures from 0 to 100° C. to form an intermediate radionuclide complex with the ancillary ligand A_(L1) then adding a reagent of the present invention and an ancillary ligand A_(L2) and reacting further at temperatures from 0 to 100° C.

Alternatively, the radiopharmaceuticals of the present invention comprised of a hydrazido or diazenido bonding unit can be prepared by first admixing a salt of a radionuclide, an ancillary ligand A_(L1), a reagent of the present invention, and a reducing agent in an aqueous solution at temperatures from 0 to 100° C. to form an intermediate radionuclide complex, and then adding an ancillary ligand A_(L2) and reacting further at temperatures from 0 to 100° C.

The technetium and rhenium radionuclides are preferably in the chemical form of pertechnetate or perrhenate and a pharmaceutically acceptable cation. The pertechnetate salt form is preferably sodium pertechnetate such as obtained from commercial Tc-99m generators. The amount of pertechnetate used to prepare the radiopharmaceuticals of the present invention can range from 0.1 mCi to 1 Ci, or more preferably from 1 to 200 mCi.

The amount of the reagent of the present invention used to prepare the technetium and rhenium radiopharmaceuticals of the present invention can range from 0.01 μg to 10 mg, or more preferably from 0.5 μg to 200 μg. The amount used will be dictated by the amounts of the other reactants and the identity of the radiopharmaceuticals of the present invention to be prepared.

The amounts of the ancillary ligands A_(L1) used can range from 0.1 mg to 1 g, or more preferably from 1 mg to 100 mg. The exact amount for a particular radiopharmaceutical is a function of identity of the radiopharmaceuticals of the present invention to be prepared, the procedure used and the amounts and identities of the other reactants. Too large an amount of A_(L1) will result in the formation of by-products comprised of technetium labeled A_(L1) without a biologically active molecule or by-products comprised of technetium labeled biologically active molecules with the ancillary ligand A_(L1) but without the ancillary ligand A_(L2). Too small an amount of A_(L1) will result in other by-products such as technetium labeled biologically active molecules with the ancillary ligand A_(L2) but without the ancillary ligand A_(L1), or reduced hydrolyzed technetium, or technetium colloid.

The amounts of the ancillary ligands A_(L2) used can range from 0.001 mg to 1 g, or more preferably from 0.01 mg to 10 mg. The exact amount for a particular radiopharmaceutical is a function of the identity of the radiopharmaceuticals of the present invention to be prepared, the procedure used and the amounts and identities of the other reactants. Too large an amount of A_(L2) will result in the formation of by-products comprised of technetium labeled A_(L2) without a biologically active molecule or by-products comprised of technetium labeled biologically active molecules with the ancillary ligand A_(L2) but without the ancillary ligand A_(L1). If the reagent bears one or more substituents that are comprised of a soft donor atom, as defined above, at least a ten-fold molar excess of the ancillary ligand A_(L2) to the reagent of formula 2 is required to prevent the substituent from interfering with the coordination of the ancillary ligand A_(L2) to the metal radionuclide.

Suitable reducing agents for the synthesis of the radiopharmaceuticals of the present invention include stannous salts, dithionite or bisulfite salts, borohydride salts, and formamidinesulfinic acid, wherein the salts are of any pharmaceutically acceptable form. The preferred reducing agent is a stannous salt. The amount of a reducing agent used can range from 0.001 mg to 10 mg, or more preferably from 0.005 mg to 1 mg.

The specific structure of a radiopharmaceutical of the present invention comprised of a hydrazido or diazenido bonding unit will depend on the identity of the reagent of the present invention used, the identity of any ancillary ligand A_(L1), the identity of any ancillary ligand A_(L2), and the identity of the radionuclide. Radiopharmaceuticals comprised of a hydrazido or diazenido bonding unit synthesized using concentrations of reagents of <100 μg/mL, will be comprised of one hydrazido or diazenido group. Those synthesized using >1 mg/mL concentrations will be comprised of two hydrazido or diazenido groups from two reagent molecules. For most applications, only a limited amount of the biologically active molecule can be injected and not result in undesired side-effects, such as chemical toxicity, interference with a biological process or an altered biodistribution of the radiopharmaceutical. Therefore, the radiopharmaceuticals which require higher concentrations of the reagents comprised in part of the biologically active molecule, will have to be diluted or purified after synthesis to avoid such side-effects.

The identities and amounts used of the ancillary ligands A_(L1) and A_(L2) will determine the values of the variables y and z. The values of y and z can independently be an integer from 1 to 2. In combination, the values of y and z will result in a technetium coordination sphere that is made up of at least five and no more than seven donor atoms. For monodentate ancillary ligands A_(L2), z can be an integer from 1 to 2; for bidentate or tridentate ancillary ligands A_(L2), z is 1. The preferred combination for monodentate ligands is y equal to 1 or 2 and z equal to 1. The preferred combination for bidentate or tridentate ligands is y equal to 1 and z equal to 1.

The indium, copper, gallium, silver, palladium, rhodium, gold, platinum, bismuth, yttrium and lanthanide radiopharmaceuticals of the present invention can be easily prepared by admixing a salt of a radionuclide and a reagent of the present invention, in an aqueous solution at temperatures from 0 to 100° C. These radionuclides are typically obtained as a dilute aqueous solution in a mineral acid, such as hydrochloric, nitric or sulfuric acid. The radionuclides are combined with from one to about one thousand equivalents of the reagents of the present invention dissolved in aqueous solution. A buffer is typically used to maintain the pH of the reaction mixture between 3 and 10.

The gadolinium, dysprosium, iron and manganese metallopharmaceuticals of the present invention can be easily prepared by admixing a salt of the paramagnetic metal ion and a reagent of the present invention, in an aqueous solution at temperatures from 0 to 100° C. These paramagnetic metal ions are typically obtained as a dilute aqueous solution in a mineral acid, such as hydrochloric, nitric or sulfuric acid. The paramagnetic metal ions are combined with from one to about one thousand equivalents of the reagents of the present invention dissolved in aqueous solution. A buffer is typically used to maintain the pH of the reaction mixture between 3 and 10.

The total time of preparation will vary depending on the identity of the metal ion, the identities and amounts of the reactants and the procedure used for the preparation. The preparations may be complete, resulting in >80% yield of the radiopharmaceutical, in 1 minute or may require more time. If higher purity metallopharmaceuticals are needed or desired, the products can be purified by any of a number of techniques well known to those skilled in the art such as liquid chromatography, solid phase extraction, solvent extraction, dialysis or ultrafiltration.

Buffers useful in the preparation of metallopharmaceuticals and in diagnostic kits useful for the preparation of said radiopharmaceuticals include but are not limited to phosphate, citrate, sulfosalicylate, and acetate. A more complete list can be found in the United States Pharmacopeia.

Lyophilization aids useful in the preparation of diagnostic kits useful for the preparation of radiopharmaceuticals include but are not limited to mannitol, lactose, sorbitol, dextran, Ficoll, and polyvinylpyrrolidine(PVP).

Stabilization aids useful in the preparation of metallopharmaceuticals and in diagnostic kits useful for the preparation of radiopharmaceuticals include but are not limited to ascorbic acid, cysteine, monothioglycerol, sodium bisulfite, sodium metabisulfite, gentisic acid, and inositol.

Solubilization aids useful in the preparation of metallopharmaceuticals and in diagnostic kits useful for the preparation of radiopharmaceuticals include but are not limited to ethanol, glycerin, polyethylene glycol, propylene glycol, polyoxyethylene sorbitan monooleate, sorbitan monoloeate, polysorbates, poly(oxyethylene)poly(oxypropylene)poly(oxyethylene) block copolymers (Pluronics) and lecithin. Preferred solubilizing aids are polyethylene glycol, and Pluronics.

Bacteriostats useful in the preparation of metallopharmaceuticals and in diagnostic kits useful for the preparation of radiopharmaceuticals include but are not limited to benzyl alcohol, benzalkonium chloride, chlorbutanol, and methyl, propyl or butyl paraben.

A component in a diagnostic kit can also serve more than one function. A reducing agent can also serve as a stabilization aid, a buffer can also serve as a transfer ligand, a lyophilization aid can also serve as a transfer, ancillary or co-ligand and so forth.

The diagnostic radiopharmaceuticals are administered by intravenous injection, usually in saline solution, at a dose of 1 to 100 mCi per 70 kg body weight, or preferably at a dose of 5 to 50 mCi. Imaging is performed using known procedures.

The magnetic resonance imaging contrast agents of the present invention may be used in a similar manner as other MRI agents as described in U.S. Pat. Nos. 5,155,215; 5,087,440; Margerstadt et al., Magn. Reson. Med., 1986, 3, 808; Runge et al., Radiology, 1988, 166, 835; and Bousquet et al., Radiology, 1988, 166, 693. Generally, sterile aqueous solutions of the contrast agents are administered to a patient intravenously in dosages ranging from 0.01 to 1.0 mmoles per kg body weight.

For use as X-ray contrast agents, the compositions of the present invention should generally have a heavy atom concentration of 1 mM to 5 M, preferably 0.1 M to 2 M. Dosages, administered by intravenous injection, will typically range from 0.5 mmol/kg to 1.5 mmol/kg, preferably 0.8 mmol/kg to 1.2 mmol/kg. Imaging is performed using known techniques, preferably X-ray computed tomography.

The ultrasound contrast agents of the present invention are administered by intravenous injection in an amount of 10 to 30 μL of the echogenic gas per kg body weight or by infusion at a rate of approximately 3 μL/kg/min. Imaging is performed using known techniques of sonography.

Other features of the invention will become apparent in the course of the following descriptions of exemplary embodiments which are given for illustration of the invention and are not intended to be limiting thereof.

EXAMPLES

Representative materials and methods that may be used in preparing the compounds of the invention are described further below.

-   1-methyl-4-oxo-7-(((1-(triphenylmethyl)imidazol-2-yl)amino)methyl)hydroquinoline-3-carboxylic     acid, ethyl 7-bromo-4-oxohydroquinoline-3-carboxylate,     1-(triphenylmethyl)imidazole-2-ylamine, and methyl     3-amino-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoate     hydrochloride were prepared as described in International     Publication No. WO 98/23608. Boc-L-cysteic acid, Boc-L-cysteic acid     N-hydroxyphenyl ester, and Boc-L-cysteic acid p-nitrophenyl ester     were prepared as described in Liebigs Ann. Chem. 1979, 776–783.     Benzotriazole-1-yloxy-tris-pyrrolidinophosphonium     hexafluorophosphate (PyBOP) was purchased from Novabiochem.     (tert-butoxy)-N-(3-bromopropyl)formamide and     2-(2-aza-2-((5-((2,5-dioxopyrrolidinyl)carbonyl)(2-pyridyl))-amino)vinyl)benzenesulfonic     acid were prepared as described in International Publication No. WO     96/40637. All other chemicals and solvents (reagent grade) were used     as supplied from the vendors cited without further purification.     t-Butyloxycarbonyl (Boc) amino acids and other starting amino acids     may be obtained commercially from Bachem Inc., Bachem Biosciences     Inc. (Philadelphia, Pa.), Advanced ChemTech (Louisville, Ky.),     Peninsula Laboratories (Belmont, Calif.), or Sigma (St. Louis, Mo.).     2-(1H-Benzotriazol-1-yl)-1,1,3,3-tetramethyluronium     hexafluorophosphate (HBTU) and TBTU were purchased from Advanced     ChemTech. N-methylmorpholine (NMM), m-cresol, D-2-aminobutyric acid     (Abu), trimethylacetylchloride, diisopropylethylamine (DIEA),     1,2,4-triazole, stannous chloride dihydrate,     1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride (EDC),     triethylsilane (Et₃SiH) and tris(3-sulfonatophenyl)phosphine     trisodium salt (TPPTS) were purchased from Aldrich Chemical Company.     Bis(3-sulfonatophenyl)phenylphosphine disodium salt (TPPDS) was     prepared by the published procedure (Kuntz, E., U.S. Pat. No.     4,248,802). (3-Sulfonatophenyl)diphenylphosphine monosodium salt     (TPPMS)was purchased from TCI America, Inc. Tricine was obtained     from Research Organics, Inc. Technetium-99m-pertechnetate     (^(99m)TcO₄—) was obtained from a DuPont Pharma ⁹⁹Mo/^(99m)Tc     Technelite® generator. In-111-chloride (Indichlor®) was obtained     from Amersham Medi-Physics, Inc. Sm-153-chloride and     Lutetium-177-chloride were obtained from the University of Missouri     Research Reactor (MURR). Yttrium-90 chloride was obtained from the     Pacific Northwest Research Laboratories. Dimethylformamide (DMF),     ethyl acetate, chloroform (CHCl₃), methanol (MeOH), pyridine and     hydrochloric acid (HCl) were obtained from Baker. Acetonitrile,     dichloromethane (DCM), acetic acid (HOAc), trifluoroacetic acid     (TFA), ethyl ether, triethylamine, acetone, and magnesium sulfate     were commercially obtained. Absolute ethanol was obtained from     Quantum Chemical Corporation.

Synthesis of Boc-Glu-(OTFP)-OTFP

To a solution of Boc-Glu-OH (28.9 g, 117 mmol) in DMF (500 mL) at room temperature, and under nitrogen, was added a solution of 2,3,5,6-tetrafluorophenol (48.2 g, 290 mmol) in DMF (50 mL). After stirring for 10 min. EDC (55.6 g, 290 mmol) was added and the reaction mixture was stirred for about 96 h. The volatiles were removed in vacuo and the residue was triturated in 0.1 N HCl (750 mL). To this mixture was added ethyl acetate (600 mL), the layers separated. The aqueous layer was extracted with ethyl acetate (3×˜500 mL), and all the ethyl acetate fractions were combined, washed with water (300 mL) and brine (300 mL), dried (MgSO₄), and concentrated to give a tan solid (62 g). The tan solid was washed with acetonitrile to give the title compound (45.5 g, 73%) in purified form.

-   ESMS: Calculated for C₂₂H₁₇F₈NO₆, 543.09. found, 566.0 [M+Na]⁺¹.

Example 1 2-(((4-(4-(((3-(2-(2-(3-((6-((1-Aza-2-(2-sulfophenyl)vinyl)amino)(3-pyridyl))carbonylamino)-propoxy)ethoxy)-ethoxy)propyl)amino)sulfonyl)phenyl)phenyl)sulfonyl)-amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic Acid Trifluoroacetate Salt Part A N-(3-(2-(2-(3-aminopropoxy)ethoxy)ethoxy)-propyl)(phenylmethoxy)formamide

A solution of 4,7,10-trioxa-1,13-tridecanediamine (158 mL, 0.72 mol), TEA (16.7 mL, 0.12 mol), and MeOH (300 mL) in peroxide-free THF (1,000 mL) was placed in a 3 liter 3-neck flask fitted with a mechanical stirrer, a thermometer, and an addition funnel with nitrogen line. The addition funnel was charged with a solution of benzyl chloroformate (17.1 mL, 0.12 mol) in peroxide-free THF (1,000 mL). The contents of the flask were cooled below 5° C. The contents of the addition funnel were added to the flask with rapid stirring over 4 h while keeping the temperature below 5° C. The solution was stirred an additional 30 min and concentrated to give a thick syrup. This syrup was taken up in saturated NaCl (1800 mL) and 10% Na₂CO₃ (200 mL) and extracted with ether (3×1,000 mL). The combined ether extracts were washed with saturated NaCl (500 mL), dried (MgSO₄), and concentrated to give a pale yellow oil (36.74 g). Flash chromatography on a 7×29 cm silica gel column (DCM/MeOH/TEA, 20/15/0.5) gave the title compound as a colorless syrup (19.14 g, 45%). ¹H NMR (CDCl₃): 7.33–7.25 (m, 5H), 5.59 (s, 1H), 5.06 (s, 2H), 3.62–3.45 (m, 12H), 3.32–3.25 (m, 2H), 2.74 (t, J=6.7 Hz, 2H), 1.75 (pentet, J=6.0 Hz, 2H), 1.67 (pentet, J=6.4 Hz, 2H), 1.33 (s, 2H); MS: m/e 355.4 [M+H]; High Resolution MS: Calcd for C₁₈H₃₁N₂O₅ [M+H]: 355.2233. Found: 355.2222.

Part B Methyl 3-((tert-Butoxy)carbonylamino)-2-(((4-(4-(((3-(2-(2-(3-((phenylmethoxy)carbonylamino)propoxy)ethoxy)-ethoxy)propyl)amino)sulfonyl)phenyl)phenyl) sulfonyl)-amino)propanoate

Biphenyl-4,4′-disulfonyl chloride (2.64 g, 7.5 mmol, freshly recrystallized from CHCl₃) and DCM (200 mL) were placed in a 500 mL 3-neck flask fitted with a thermometer, an addition funnel, and a nitrogen line. The addition funnel was charged with a solution of N-(3-(2-(2-(3-aminopropoxy)ethoxy)ethoxy)propyl)-(phenylmethoxy)formamide (1.77 g, 5.0 mmol) and DIEA (0.87 mL, 5.0 mmol) in DCM (40 mL). The contents of the flask were cooled below 5° C. The contents of the addition funnel were added to the flask with rapid stirring over 3 h while keeping the temperature of the flask below 5° C. The addition funnel was charged with a solution of N-β-Boc-L-α,β,-diaminopropionic acid methyl ester hydrochloride (2.55 g, 10 mmol) and DIEA (3.8 mL, 22 mmol) in DCM (25 mL). This solution was added to the flask with stirring at 5° C. over 15 min, and stirred at ambient temperatures for an additional 20 h. The reaction solution was washed consecutively with 0.1 N HCl (100 mL) and water (2×100 mL), dried (MgSO₄), and concentrated to give a viscous oil (5.79 g). Flash chromatography on a 5×21 cm silica gel column (85/15 EtOAc/hexanes, followed by 100% EtOAc) gave a colorless amorphous solid. Recrystallization from toluene (85 mL) gave the title compound as a colorless solid (2.52 g, 59%). MP: 104.5–106.5° C.; ¹H NMR (CDCl₃): 8.00–7.90 (m, 4H), 7.72–7.64 (m, 4H), 7.46–7.24 (m, 5H), 5.96–5.88 (m, 1H), 5.86–5.73 (m, 1H), 5.41 (s, 1H), 5.16–5.00 (m, 3H), 4.15–4.02 (m, 1H), 3.68–3.39 (m, 17H), 3.34–3.22 (m, 2H), 3.13–3.03 (m, 2H), 1.80–1.62 (m, 4H), 1.39 (s, 9H); ¹³C NMR (CDCl₃): 170.2, 156.5, 156.1, 143.9, 143.0, 140.4, 139.4, 136.7, 128.4, 128.1, 128.0, 127.9, 127.9, 127.8, 127.3, 80.1, 70.6, 70.5, 70.2, 70.1, 70.0, 69.6, 66.5, 56.1, 52.9, 43.2, 42.4, 39.3, 29.4, 28.5, 28.2; MS: m/e 868.3 [M+NH₄]; High Resolution MS: Calcd for C₃₉H₅₅N₄O₁₃S₂ [M+H]: 851.3207. Found: 851.3226.

Part C Methyl 3-((1-Methyl-4-oxo-7-(((1-(triphenylmethyl)imidazol-2-yl)amino)methyl)(3-hydroquinolyl))carbonylamino)-2-(((4-(4-(((3-(2-(2-(3-((phenylmethoxy)carbonylamino)-propoxy)ethoxy)ethoxy)propyl)amino)sulfonyl)pheny 1)sulfonyl)amino)propanoate

The product of Part B, above (748 mg, 0.88 mmol) was dissolved in 25/75 TFA/DCM (15 mL) and allowed to stand at ambient temperatures under nitrogen for 15 min. The TFA was removed under vacuum and the resulting amber oil was taken up in 50/50 ACN/water (50 mL), and treated portion wise with Bio-Rad AG-3-X4A resin, hydroxide form, to raise the pH from 2 to 6. The resin was removed by filtration and the filtrate was lyophilized to give a sticky pale yellow foam.

In a separate flask, 1-methyl-4-oxo-7-(((1-(triphenylmethyl)imidazol-2-yl)amino)methyl)hydroquinoline-3-carboxylic acid (432 mg, 0.80 mmol), TEA (0.33 mL), and HBTU (364 mg, 0.96 mmol) were dissolved in anhydrous DMF (25 mL). The resulting solution was stirred at ambient temperatures under a nitrogen atmosphere for 10 min and combined with a solution of the yellow foam in anhydrous DMF (15 mL). The DMF was removed under vacuum after 18 h to give a viscous yellow oil. This oil was taken up in EtOAc (175 mL), washed consecutively with water (25 mL), saturated NaHCO₃ (50 mL), and saturated NaCl (25 mL), dried (MgSO₄), and concentrated to give a viscous yellow oil. Purification by flash chromatography on a 7×25 cm silica gel column using a CHCl₃/EtOAc/MeOH step gradient (47/47/6, 46/46/8, 60/30/10) gave the title compound as a pale yellow solid (510 mg, 50%). MP: 136–140° C.; MS: m/e 1273.4 [M+H]; High Resolution MS: Calcd for C₆₈H₇₃N₈O₁₃S₂ [M+H]: 1273.4738. Found: 1273.4730.

Part D 3-((1-Methyl-4-oxo-7-(((1-(triphenylmethyl)-imidazol-2-yl)amino)methyl)(3-hydroquinolyl))carbonylamino)-2-(((4-(4-(((3-(2-(2-(3-((phenylmethoxy)carbonylamino)propoxy)ethoxy)-ethoxy)propyl)amino)sulfonyl) phenyl)phenyl)sulfonyl)-amino)propanoic Acid

The product form Part C, above (295 mg, 0.232 mmol) was dissolved in a mixture of peroxide-free THF (12 mL), water (1.8 mL), and 3 N LiOH (1.2 mL), and stirred at ambient temperatures under a nitrogen atmosphere for 30 min. The THF was removed under vacuum and the resulting mixture was dissolved in CHCl₃ (75 mL) and water (50 mL). The aqueous layer was adjusted to pH 3 with 0.5 N HCl and the layers were thoroughly mixed. The aqueous layer was extracted with additional CHCl₃ (2×25 mL). The combined CHCl₃ extracts were washed with saturated NaCl (50 mL), dried (MgSO₄), and concentrated to give the title compound as a pale yellow solid (291 mg, 100%). MS: m/e 1259.3 [M+H]; High Resolution MS: Calcd for C₆₇H₇₁N₈O₁₃S₂ [M+H]: 1259.4582. Found: 1259.4610.

Part E 2-(((4-(4-(((3-(2-(2-(3-Aminopropoxy)ethoxy)-ethoxy)propyl)amino)sulfonyl)phenyl)phenyl)sulfonyl )-amino)-3-((7-((imidazol-2-yl)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic Acid

The product from Part D, above (279 mg, 0.222 mmol) was dissolved in degassed TFA (30 mL) and treated with Et₃SiH (0.424 mL, 2.66 mmol). The solution was heated at 70° C. under a nitrogen atmosphere for 1 h and concentrated to a viscous oil. This oil was dissolved in water (20 mL) and washed with ether (2×20 mL). The combined ether washings were back-extracted with water (10 mL). The combined water extracts were diluted with an equal volume of ACN and treated with Bio-Rad AG-3-X4A resin, hydroxide form to raise the pH from 4 to 6. The resin was removed by filtration and the filtrate was lyophilized to give the title compound as a colorless solid (220 mg). MS: m/e 883.4 [M+H], 442.5 [M+2H]; High Resolution MS: Calcd for C₄₀H₅₁N₈O₁₁S₂ [M+H]: 833.3118. Found: 833.3118.

Part F 2-(((4-(4-(((3-(2-(2-(3-((6-((1-Aza-2-(2-sulfophenyl)vinyl)amino)(3-pyridyl))carbonylamino)-propoxy)ethoxy)-ethoxy)propyl)amino)sulfonyl)phenyl)phenyl)sulfonyl)-amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic Acid Trifluoroacetate Salt

A solution of the product from Part F, above (15 mg, 0.0135 mmol), TEA (0.007 mL), and 2-(2-aza-2-((5-((2,5-dioxopyrrolidinyl)carbonyl)(2-pyridyl))-amino)vinyl)benzenesulfonic acid (9.0 mg, 0.0204 mmol) in anhydrous DMF (2.5 mL) was allowed to stand at ambient temperatures under a nitrogen atmosphere for 22 h. The DMF was removed under vacuum and the glassy solid was dissolved in 20% ACN and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using 0.1% TFA in water for 5 min followed by a 2.52%/min gradient of 0 to 63% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 21.2 min was collected and lyophilized to give the title compound as a colorless powder (3.5 mg, 20%). MS: m/e 1186.7 [M+H]; High Resolution MS: Calcd for C₅₃H₆₀N₁₁O₁₅S₃ [M+H]: 1186.3432. Found: 1186.3410.

Example 2 3-((7-((Imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((4-(4-(((3-(2-(2-(3-(2-(1,4,7,10-tetraaza-4,7,10-tris(carboxylmethyl)cyclododecyl)acetylamino)-propoxy)ethoxy)ethoxy)propyl)amino)sulfonyl)-phenyl)phenyl)sulfonyl)amino)propanoic Acid Bis(trifluoroacetate) Salt Part A Phenylmethyl 2-(1,4,7,10-Tetraaza-4,7,10-tris(((tert-butyl)oxycarbonyl)methyl)cyclododecyl)-acetate

A solution of tert-butyl (1,4,7,10-tetraaza-4,7-bis(((tert-butyl)oxycarbonyl)methyl)cyclododecyl)acetate (0.922 g, 1.79 mmol), TEA (1.8 mL) and benzyl bromoacetate (0.86 mL, 5.37 mmol) in anhydrous DMF (24 mL) was stirred at ambient temperatures under a nitrogen atmosphere for 24 h. The DMF was removed under vacuum and the resulting oil was dissolved in EtOAc (300 mL). This solution was washed consecutively with water (2×50 mL) and saturated NaCl (50 mL), dried (MgSO₄), and concentrated to give the title compound as an amorphous solid (1.26 g). MS: m/e 663.5 [M+H].

Part B 2-(1,4,7,10-tetraaza-4,7,10-tris(((tert-butyl)oxycarbonyl)methyl)cyclododecyl)acetic acid

The product from Part A, above (165 mg, 0.25 mmol) was hydrogenolyzed over 10% Pd on carbon (50 mg) in EtOH (15 mL) at 60 psi for 24 h. The catalyst was removed by filtration through filter aid and washed with EtOH. The filtrates were concentrated to give the title compound as an amorphous solid (134 mg, 94%). MS: m/e 573.5 [M+H].

Part C Methyl 3-((7-((Imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((4-(4-(((3-(2-(2-(3-(2-(1,4,7,10-tetraaza-4,7,10-tris(((tert-butyl)oxycarbonyl)methyl)cyclododecyl) acetylamino)-propoxy)ethoxy)-ethoxy)propyl)amino)sulfonyl)phenyl)phenyl)sulfonyl)-amino)propanoate Pentakis(trifluoroacetate) Salt

A solution of the product of Example 1, Part C (68 mg, 0.0534 mmol) and Et₃SiH (0.051 mL, 0.32 mmol) in degassed TFA (5.0 mL) was stirred at 70° C. under a nitrogen atmosphere for 1 h and concentrated to dryness. The resulting amber oil was dissolved in anhydrous DMF (2 mL) and treated with TEA until basic to pH paper. A solution of the product of Part B, above (46 mg, 0.080 mmol) in anhydrous DMF (1.0 mL) was added, followed by HBTU (24 mg, 0.064 mmol), and the solution was stirred at ambient temperatures under a nitrogen atmosphere for 3 h. The DMF was removed under vacuum and the residue was dissolved in 50% ACN and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using a 2.1%/min gradient of 0 to 63% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 23.8 min was collected and lyophilized to give the title compound as a colorless powder (16 mg, 15%). MS: m/e 1451.7 [M+H]; High Resolution MS: Calcd for C₆₉H₁₀₃N₁₂O₁₈S₂ [M+H]: 1451.6954. Found: 1451.698.

Part D 3-((7-((Imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((4-(4-(((3-(2-(2-(3-(2-(1,4,7,10-tetraaza-4,7,10-tris(carboxylmethyl)cyclododecyl)acetylamino)-propoxy)ethoxy)ethoxy)propyl) amino)sulfonyl)-phenyl)phenyl)sulfonyl)amino)propanoic Acid Bis(trifluoroacetate) Salt

The product of Part C, above (16 mg, 0.0102 mmol) was dissolved in a mixture of peroxide-free THF (1 mL), water (0.115 mL), and 3 N LiOH (0.075 mL), and stirred at ambient temperatures under a nitrogen atmosphere for 24 h. The reaction was concentrated to give an oily solid. This solid was dissolved in 50% ACN and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using a 2.52%/min gradient of 0 to 63% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 24.0 min was collected and lyophilized to give a colorless powder (6.0 mg). This solid was dissolved in degassed TFA (2.0 mL) and Et₃SiH (0.050 mL), stirred at 70° C. under a nitrogen atmosphere for 4.5 h, and concentrated to dryness. The resulting oil was dissolved in 25% ACN and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using a 1.5%/min gradient of 0 to 45% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 19.0 min was collected and lyophilized to give the title compound as a colorless powder (2.0 mg, 17%). MS: m/e 1269.5 [M+H], 635.5 [M+2H], 424.3 [M+3H]; High Resolution MS: Calcd for C₅₆H₇₇N₁₂O₁₈S₂ [M+H]: 1269.4920. Found: 1269.4950.

Example 3 2-(((4-(3-(N-(3-(2-(2-(3-((6-((1-Aza-2-(2-sulfophenyl)vinyl)amino)(3-pyridyl))carbonylamino)-propoxy)ethoxy)ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))-carbonylamino)propanoic Acid Trifluoroacetate Salt Part A Ethyl 4-(3,5-Dimethylphenoxy)butanoate

Sodium metal (17.12 g, 0.744 mol) was added to anhydrous EtOH (350 mL) and stirred until dissolved. 3,5-Dimethylphenol was added and the solution was stirred 15 min at ambient temperatures. Ethyl 4-bromoacetate (58.7 mL, 0.41 mol) was added and the solution was stirred at ambient temperatures under a nitrogen atmosphere for 28 h. The EtOH was removed under vacuum and the oily solid was partitioned between water (1 L) and EtOAc (500 mL). The aqueous layer was extracted with additional EtOAc (500 mL). The combined EtOAc extracts were washed consecutively with saturated NaHCO₃ (300 mL) and saturated NaCl (300 mL), dried (MgSO₄), and concentrated to give an amber liquid. This liquid was vacuum fractional distilled through a 15 cm Vigreux column. The main fraction was collected from 91–117° C./6 mm Hg to gave the title compound as a colorless liquid (77.77 g, 89%). ¹H NMR (CDCl₃): 6.59 (s, 1H), 6.52 (s, 2H), 4.16 (q, J-7.16 Hz, 2H), 3.98 (t, J=6.14 Hz, 2H), 2.49 (t, J=7.34 Hz, 2H), 2.28 (s, 6H), 2.11–2.07 (m, 2H), 1.26 (t, J=7.16 Hz, 3H); Anal. calcd for C₁₄H₂₀O₃: C, 71.16; H, 8.53. Found: C, 71.35; H, 8.59.

Part B 4-(3,5-Dimethylphenoxy)butanoic Acid

The product of part A, above (75.52 g, 0.320 mol) and KOH pellets (38.5 g, 0.584 mol) were dissolved in absolute EtOH (1.50 L) and heated at reflux for 3 h. The solution was concentrated to a colorless solid, which was taken up in water (2.0 L) and washed with ether (2×750 mL). The aqueous layer was adjusted to pH 1 with concd HCl (55 mL) and the resulting oily ppt was extracted into EtOAc (2×500 mL). The combined EtOAc extracts were washed consecutively with water (300 mL) and saturated NaCl, dried (MgSO₄), and concentrated to give a colorless solid (64.13 g). Recrystallization from hexanes (500 mL) gave the title compound as a colorless solid (59.51 g, 89%). MP: 66–68.5° C.; ¹H NMR (CDCl₃): 11.70 (bs, 1H), 6.59 (s, 1H), 6.52 (s, 2H), 3.99 (t, J=6.06 Hz, 2H), 2.57 (t, J=7.29 Hz, 2H), 2.28 (s, 6H), 2.12–2.08 (m, 2H); Anal. calcd for C₁₂H16O₃: C, 69.21; H, 7.74. Found: C, 69.23; H, 7.40.

Part C 4-(4-(Chlorosulfonyl)-3,5-dimethylphenoxy)butanoic Acid

A solution of the product of Part B, above (20.8 g, 0.100 mol) in CHCl₃ (100 mL) was cooled to 0° C. and treated with chlorosulfonic acid (36 mL, 0.54 mol) dropwise and with rapid stirring while keeping the temperature of the reaction at 0° C. The resulting gelatinous mixture was stirred an additional 10 min and poured onto an ice/water mixture (600 mL). The resulting solid ppt was collected by filtration, washed with water (3×75 mL), and dried under vacuum to give a colorless solid (12.52 g). MP: 114–115° C. (with decomp); ¹H NMR (CDCl₃): 13.84 (bs, 1H), 6.50 (s, 2H), 3.91 (t, J=6.48 Hz, 2H), 2.48 (s, 6H), 2.32 (t, J=7.32 Hz, 2H), 1.89–1.84 (m, 2H); IR (KBr cm⁻¹): 1705 (s), 1370 (s), 1175 (s); MS: m/e 305.1 [M−H].

Part D 4-(4-(((2-((tert-Butoxy)carbonylamino)-1-(methoxycarbonyl)ethyl)amino)sulfonyl)-3,5-dimethylphenoxy)butanoic Acid

A solution of N-β-Boc-L-α,β,-diaminopropionic acid methyl ester hydrochloride (568 mg, 2.10 mmol) and DIEA (0.73 mL, 4.2 mmol) in DCM (5 mL) was cooled to 0° C. and treated with a suspension of the product of Part C, above (656 mg, 2.10 mmol) in DCM (20 mL) in small portions over a 15 min period. The reaction was stirred at ambient temperatures under a nitrogen atmosphere for 18 h. The reaction was diluted with DCM (100 mL) and washed with water (3×75 mL). The organic phase was dried (MgSO₄), and concentrated to give crude product (698 mg), which was purified by preparative HPLC on a Vydac C-18 column (50×250 mm) using a 0.96%/min gradient of 18 to 58.5% ACN containing 0.1% TFA at a flow rate of 80 mL/min. The main product fraction eluting at 23.8 min was collected adjusted to pH 3, partially concentrated to remove ACN, and extracted with DCM (2×100 mL). The DCM extracts were dried (MgSO₄) and concentrated to give the title compound as a colorless solid (297 mg, 29%). ¹H NMR (CDCl₃): δ 6.61 (s, 2H), 5.66 (d, J=7.2 Hz, 1H), 4.90 (s, 1H), 4.03 (bs, 2H), 3.86 (bs, 1H), 3.59 (s, 3H), 3.49 (bs, 2H), 2.62 (s, 6H), 2.58–2.51 (m, 2H), 2.18–2.07 (m, 2H), 1.41 (s, 9H); MS: m/e 489.4 [M+H]; High Resolution MS: Calcd for C₂₁H₃₃N₂O₉S [M+Na]: 511.1726. Found: 511.1747; Anal. calcd for C₂₁H₃₂N₂O₉S: C, 51.62; H, 6.61; N, 5.74. Found: C, 51.47; H, 6.27; N, 5.48.

Part E Methyl 3-((tert-Butoxy)carbonylamino)-2-(((2,6-dimethyl-4-(3-(N-(3-(2-(2-(3-((phenylmethoxy)carbonylamino)propoxy)ethoxy)-ethoxy)propyl)carbamoyl)propoxy) phenyl)-sulfonyl)amino)propanoate

A solution of the product from Part D, above (233 mg, 0.477 mmol), the product of Example 1, Part A (190 mg, 0.536 mmol), TEA (0.2 mL, 1.43 mmol), and HBTU (226 mg, 0.701 mmol) in anhydrous DMF (8 mL) was stirred at ambient temperatures under a nitrogen atmosphere for 1 h. The DMF was removed under vacuum and the oily residue was taken up in EtOAc (50 mL) and washed consecutively with 0.1 N HCl (35 mL), water (35 mL), and saturated NaCl (35 mL), dried (MgSO₄), and concentrated to give crude product as a yellow viscous oil. Flash chromatography on a 3×18 cm silica gel column (EtOAc/MeOH, 95/5) gave the title compound as a colorless viscous oil (393 mg, 100%). ¹H NMR (CDCl₃): δ 7.34–7.28 (m, 5H), 6.60 (s, 2H), 6.26 (bs, 1H), 5.67 (bs, 1H), 5.29 (bs, 1H), 5.08 (s, 2H), 4.88 (bs, 1H), 3.99 (t, J=6.1 Hz, 2H), 3.88–3.84 (m, 1H), 3.62–3.40 (m, 17H), 3.37–3.26 (m, 4H), 2.62 (s, 6H), 2.32 (t, J=7.2 Hz, 2H), 2.08 (t, J=6.3 Hz, 2H), 1.79–1.70 (m, 4H), 1.41 (s, 9H); MS: m/e 825.5 [M+H]; High Resolution MS: Calcd for C₃₉H₆₁N₄O₁₃S [M+H]: 825.3955. Found: 825.3940.

Part F Methyl 3-Amino-2-(((2,6-dimethyl-4-(3-(N-(3-(2-(2-(3-((phenylmethoxy)carbonylamino)propoxy)ethoxy)-ethoxy)propyl)carbamoyl)propoxy)phenyl)-sulfonyl)amino)propanoate

The product of Part E, above (750 mg, 0.91 mmol) was dissolved in 4 M HCl/dioxane (25 mL) and stirred at ambient temperatures for 1 h. The solution was diluted with ether (500 mL) and the resulting gummy ppt was triturated with fresh ether (2×250 mL). The gummy solid was dissolved in water (100 mL) and adjusted to pH 9 with NaHCO₃, causing an oily ppt to form. This ppt was extracted into DCM (2×75 mL). The DCM extracts were dried (MgSO₄) and concentrated to give the title compound as a colorless oil (386 mg, 56%). MS: m/e 725.5 [M+H].

Part G Methyl 2-(((2,6-Dimethyl-4-(3-(N-(3-(2-(2-(3-((phenylmethoxy)carbonylamino)propoxy)ethoxy) ethoxy)-propyl)carbamoyl)propoxy)phenyl)sulfonyl)amino)-3-((1-methyl-4-oxo-7-(((1-(triphenylmethyl)imidazol-2-yl)amino)methyl)(3-hydroquinolyl))carbonylamino)propanoate

A solution of 1-methyl-4-oxo-7-(((1-(triphenylmethyl)imidazol-2-yl)amino)methyl)hydroquinoline-3-carboxylic acid (274 mg, 0.51 mmol), TEA (0.22 mL, 1.52 mmol), and HBTU (192 mg, 0.51 mmol) in anhydrous DMF (3 mL) was stirred at ambient temperatures for 5 min. A solution of the product of Part F, above (367 mg, (0.51 mmol) in anhydrous DMF (7 mL) was added and the resulting solution was stirred at ambient temperatures under a nitrogen atmosphere for 2 h. The DMF was removed under vacuum and the resulting oily solid was dissolved in EtOAc (150 mL). The EtOAc solution was washed consecutively with water (50 mL), saturated NaHCO₃ (25 mL), and saturated NaCl (25 mL), dried (MgSO₄), and concentrated to give a yellow solid. Purification by flash chromatography on a silica gel column using a EtOAc/MeOH step gradient (95/5, 92.5/7.5) gave the title compound as a pale yellow solid (254 mg, 43%). MS: m/e 1247.7 [M+H], 624.6 [M+2H].

Part H 2-(((2,6-Dimethyl-4-(3-(N-(3-(2-(2-(3-((phenylmethoxy)carbonylamino)propoxy)ethoxy) ethoxy)-propyl)carbamoyl)propoxy)phenyl)sulfonyl)amino)-3-((1-methyl-4-oxo-7-(((1-(triphenylmethyl)imidazol-2-yl)amino)methyl)(3-hydroquinolyl))carbonylamino)propanoic Acid

The product of Part G, above (60.0 mg, 0.048 mmol) was dissolved in a mixture of peroxide-free THF (2.5 mL), water (0.37 mL), and 3 N LiOH (0.244 mL), and stirred at ambient temperatures under a nitrogen atmosphere for 30 min. The THF was removed under vacuum and the resulting mixture was dissolved in CHCl₃ (25 mL) and water (20 mL). The aqueous layer was adjusted to pH 3 with 0.1 N HCl and the layers were thoroughly mixed. The aqueous layer was extracted with additional CHCl₃ (2×20 mL). The combined CHCl₃ extracts were washed with saturated NaCl (30 mL), dried (MgSO₄), and concentrated to give the title compound as a pale yellow solid (44.0 mg, 74%). MS: m/e 1233.7 [M+H]; High Resolution MS: Calcd for C₆₇H₇₇N₈O₁₃S [M+H]: 1233.5330. Found: 1233.5330.

Part I 2-(((4-(3-(N-(3-(2-(2-(3-Aminopropoxy)ethoxy)-ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)-sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic Acid

The product of Part H, above (42.1 mg, 0.0341 mmol) and Et₃SiH (0.033 mL, 0.205 mmol) were dissolved in degassed TFA (3.5 mL), heated at 70° C. under a nitrogen atmosphere for 1 h, and concentrated to give a viscous amber oil. This oil was dissolved in water (20 mL) and washed with ether (2×20 mL). The combined ether washings were back-extracted with water (10 mL). The combined water extracts were diluted with an equal volume of ACN and treated with Bio-Rad AG-3-X4A resin, hydroxide form to raise the pH from 4 to 6. The resin was removed by filtration and the filtrate was lyophilized to give the title compound as a colorless solid (34 mg). MS: m/e 857.5 [M+H], 429.4 [M+2H].

Part J 2-(((4-(3-(N-(3-(2-(2-(3-((6-((1-Aza-2-(2-sulfophenyl)vinyl)amino)3-pyridyl))carbonylamino)-propoxy)ethoxy)ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))-carbonylamino)propanoic Acid Trifluoroacetate Salt

A solution of the product from Part I, above (30 mg, 0.035 mmol), DIEA (0.018 mL, 0.105 mmol) and 2-(2-aza-2-((5-((2,5-dioxopyrrolidinyl)carbonyl)(2-pyridyl))-amino)vinyl)benzenesulfonic acid (18.5 mg, 0.042 mmol) in anhydrous DMF (1.5 mL) was allowed to stand at ambient temperatures under a nitrogen atmosphere for 20 h. The DMF was removed under vacuum and the amber oil was dissolved in 50% ACN and purified by preparative HPLC on a Zorbax C-18 RX column (21.2×250 mm) using a 1.5%/min gradient of 0 to 45% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 21.0 min was collected and lyophilized to give the title compound as a colorless powder (8.9 mg, 20%). MS: m/e 1160.6 [M+H], 581.0 [M+2H].

Example 4 3-((1-(3-((6-((1-Aza-2-(2-sulfophenyl)vinyl)amino)(3-pyridyl))carbonylamino)propyl)-7-((imidazole-2-ylamino)-methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic Acid Trifluoroacetate Salt Part A Ethyl 1-(3-((tert-Butoxy)carbonylamino)propyl)-7-bromo-4-oxohydroquinoline-3-carboxylate

A mixture of ethyl 7-bromo-4-oxohydroquinoline-3-carboxylate (6.28 g, 0.0212 mol), (tert-butoxy)-N-(3-bromopropyl)formamide (30.3 g, 0.127 mol), and anhydrous K₂CO₃ (12.5 g, 0.904 mol) in anhydrous DMF (200 mL) was stirred at 60° C. under a nitrogen atmosphere for 4 h, and then at ambient temperatures for 72 h. The DMF was removed under vacuum and the resulting oily solid was dissolved in EtOAc (500 mL). The EtOAc solution was washed consecutively with water (500 mL), saturated NaHCO₃ (500 mL), and saturated NaCl (500 mL), dried (MgSO₄), and concentrated to give a red oil. This oil was taken up in EtOAc (250 mL) and cooled, causing a solid ppt to form. This ppt was collected by filtration, washed with cold EtOAc, and dried to give the title compound as a colorless solid (6.25 g, 65%). MP: 140–142° C.; ¹H NMR (CDCl₃): 8.49 (s, 1H), 8.39 (d, J=8.6 Hz, 1H), 7.58 (s, 1H), 7.53 (d, J=8.6 Hz, 1H), 4.72 (bs, 1H), 4.39 (q, J=7.1 Hz, 2H), 4.20 (t, J=7.6 Hz, 2H), 3.28–3.24 (m, 2H), 2.10–2.06 (m, 2H), 1.46 (s, 9H), 1.40 (t, J=7.1 Hz, 3H); MS: m/e 455.2. [M+H]; High Resolution MS: Calcd for C₂₀H₂₆BrN₂O₅ [M+H]: 453.1025. Found: 453.1028.

Part B Ethyl 1-(3-((tert-Butoxy)carbonylamino)propyl)-4-oxo-7 -vinylhydroquinoline-3-carboxylate

The product from Part A, above (2.98 g, 6.60 mmol) was dissolved in toluene (50 mL) at a temperature of 100° C. and treated with tetrakis(triphenylphosphine)palladium(0) (152 mg, 0.132 mmol). After 5 min the mixture was treated with tributyl(vinyl)tin (1.93 mL, 6.60 mmol) and stirred 4.5 h at 100° C. under a nitrogen atmosphere, and 18 h at ambient temperatures. Additional tributyl(vinyl)tin (0.386 mL) and tetrakis(triphenylphosphine)palladium(0) (152 mg) were added and the mixture was heated at 100° C. for an additional 17 h. The toluene was removed under vacuum and the solid residue was triturated with ether to give the title compound as a pale green solid (1.67 g, 63%). MP: 133–135° C.; ¹H NMR (CDCl₃): 8.52 (d, J=8.4 Hz, 1H), 8.51 (s, 1H), 7.55 (d, J=8.4 Hz, 1H), 7.38 (s, 1H), 6.88–6.82 (m, 1H), 5.97 (d, J=17.4 Hz, 1H), 5.51 (d, J=10.8 Hz, 1H), 4.75 (bs, 1H), 4.42 (q, J=7.2 Hz, 2H), 4.27 (t, J=7.8 Hz, 2H), 3.6–3.25 (m, 2H), 2.16–2.11 (m, 2H), 1.49 (s, 9H), 1.45 (t, J=7.2 Hz, 3H); MS: m/e 401.3 [M+H]; High Resolution MS: Calcd for C₂₂H₂₉N₂O₅ [M+H]: 401.2076. Found: 401.2075.

Part C Ethyl 1-(3-((tert-Butoxy)carbonylamino)propyl)-7-formyl-4-oxohydroquinoline-3-carboxylate

A solution of the product of Part B, above (1.50 g, 3.75 mmol) in dioxane (119 mL) and water (39 mL) was treated with a solution of osmium tetroxide (19.6 mg, 0.077 mmol) in dioxane (0.600 mL) and stirred at ambient temperatures under a nitrogen atmosphere for 5 min. Sodium periodate (2.40 g, 11.2 mmol) was added and the stirred at ambient temperatures for 2 h. The dioxane was removed under vacuum and the residue was taken up in DCM (500 mL). The DCM solution was washed consecutively with water (500 mL) and saturated NaCl (500 mL), dried (MgSO₄), and concentrated to give the title compound as an orange oily solid (1.52 g, 100%). ¹H NMR (CDCl₃): 10.17 (s, 1H), 8.68 (d, J=8.2 Hz, 1H), 8.64 (s, 1H), 8.01 (s, 1H), 7.88 (d, J=8.2 Hz, 1H), 4.82 (bs, 1H), 4.41–4.35 (m, 4H), 3.28 (s, 2H), 2.15–2.07 (m, 2H), 1.45 (s, 9H), 1.41 (t, J=7.1 Hz, 3H); MS: m/e 403.3 [M+H]; High Resolution MS: Calcd for C₂₁H₂₇N₂O₆ [M+H]: 403.1870. Found: 403.1875.

Part D Ethyl 1-(3-((tert-Butoxy)carbonylamino)propyl)-4-oxo-7-(((1-(triphenylmethyl)imidazole-2-yl)amino)methyl)hydroquinoline-3-carboxylate

A solution of the product of Part C, above (544 mg, 1.35 mmol) and 1-(triphenylmethyl)imidazole-2-ylamine (456 mg, 1.35 mmol) in toluene (60 mL) was heated at reflux under a nitrogen atmosphere with removal of water for 5 h. The solution was cooled, treated with Na(OAc)₃BH (1.14 g, 5.38 mmol) and stirred at ambient temperatures for 18 h. The mixture was diluted with EtOAc (400 mL), washed consecutively with water (500 mL) and saturated NaCl (500 mL), dried (MgSO₄), and concentrated to give an orange solid. This solid was dissolved in 50% ACN and purified by preparative HPLC on a Vydac C-18 column (50×250 mm) using a 0.60%/min gradient of 18 to 52% ACN containing 0.1% TFA at a flow rate of 49 mL/min. The main product peak eluting at 30.8 min was collected and lyophilized to give the title compound as a pale yellow solid (407 mg, 60%). MS: m/e 712.4 [M+H]; High Resolution MS: Calcd for C₄₃H₄₆N₅O₅ [M+H]: 712.3499. Found: 712.3485.

Part E 1-(3-((tert-Butoxy)carbonylamino)propyl)-4-oxo-7-(((1-(triphenylmethyl)imidazole-2-yl)amino)methyl)-hydroquinoline-3-carboxylic Acid

A mixture of the product of Part D, above (997 mg, 1.40 mmol), water (7.3 mL), 3 N LiOH (3.5 mL), and THF (50 mL) was stirred at ambient temperatures under a nitrogen atmosphere for 3 h. The THF was removed under vacuum and the resulting mixture was dissolved in CHCl₃ (500 mL) and water (100 mL). The aqueous layer was adjusted to pH 3 with 1.0 N HCl and the layers were thoroughly mixed. The organic layer was washed consecutively with water (500 mL) and saturated NaCl (500 mL), dried (MgSO₄), and concentrated to give the title compound as a pale yellow solid (998 mg). MP: 153–160° C.; ¹H NMR (CDCl₃): δ 14.83 (s, 1H), 8.76 (s, 1H), 8.68 (s, 1H), 8.24 (d, J=6 Hz, 1H), 7.49–7.35 (m, 9H), 7.12–7.10 (m, 6H), 6.82 (s, 1H), 6.52 (s, 1H), 6.24 (d, J=6 Hz, 1H), 5.75 (bs, 1H), 4.87–4.83 (m, 2H), 4.77 (bs, 1H), 4.51 (t, J=9 Hz, 2H), 3.38 (s, 2H), 2.23 (s, 2H), 1.42 (s, 9H); MS: m/e 684.3 [M+H]; High Resolution MS: Calcd for C₄₁H₄₂N₅O₅ [M+H]: 684.3186. Found: 684.3181.

Part F Methyl 3-((1-(3-((tert-Butoxy)carbonylamino)propyl)-4-oxo-7-(((1-(triphenylmethyl)imidazole-2-yl)amino)methyl)(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoate

A solution of the product of Part E, above (300 mg, 0.437 mmol), TEA (0.243 mL, 1.75 mmol), and HBTU (230 mg, 0.606 mmol) in anhydrous DMF (4 mL) was stirred at ambient temperatures for 5 min. A solution of methyl 3-amino-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoate hydrochloride (184 mg, 0.637 mmol) in anhydrous DMF (3 mL) was added and the solution was stirred at ambient temperatures under a nitrogen atmosphere for 2 h. The solution was diluted with EtOAc (200 mL) and washed consecutively with water (2×50 mL), saturated NaHCO₃ (50 mL), and saturated NaCl (50 mL), dried (MgSO₄), and concentrated to give a viscous amber oil. Purification by flash chromatography on a 2.5×24 cm silica gel column using a EtOAc/MeOH step gradient (98/2, 95/5, 75/25) gave the title compound as a pale yellow oil (330 mg, 78%). MS: m/e 966.6 [M+H]; High Resolution MS: Calcd for C₅₄H₆₀N₇O₈S [M+H]: 966.4224. Found: 966.4224.

Part G 3-((1-(3-((tert-Butoxy)carbonylamino)propyl)-4-oxo-7-(((1-(triphenylmethyl)imidazole-2-yl)amino)methyl)(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic Acid

A solution of the product of Part F, above (51 mg, 0.052 mmol), water (0.27 mL), and 3 N LiOH (0.13 mL) in MeOH (2 mL) was allowed to stand at ambient temperatures for 3.5 h and concentrated under vacuum. The resulting solid was dissolved in water (10 mL) and adjusted to pH 3 with 1.0 N HCl. The aqueous mixture was extracted with DCM (2×30 mL). The combined DCM extracts were washed with saturated NaCl (30 mL), dried (MgSO₄), and concentrated to give the title compound as a colorless solid (72 mg). MS: m/e 952.5 [M+H]; High Resolution MS: Calcd for C₅₃H₅₈N₇O₈S [M+H]: 952.4067. Found: 952.4056.

Part H 3-((1-(3-Aminopropyl)-7-((imidazole-2-ylamino)-methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic Acid Bis(trifluoroacetate) Salt

The product of Part I, above (0.052 mmol) and Et₃SiH (0.042 mL, 0.26 mmol) were dissolved in degassed TFA (2 mL), heated at 70° C. for 2.5 h, and concentrated to give an amber oil. This oil was dissolved in water (25 mL) and washed with ether (2×15 mL). The combined ether washings were back-extracted with water (15 mL). The combined water extracts were lyophilized to give the title compound as a colorless powder (34 mg, 78%). MS: m/e 610.4 [M+H]; High Resolution MS: Calcd for C₂₉H₃₆N₇O₆S [M+H]: 610.2448. Found: 610.2462.

Part I 3-((1-(3-((6-((1-Aza-2-(2-sulfophenyl)vinyl)amino)(3-pyridyl))carbonylamino)propyl)-7-((imidazole-2-ylamino)-methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic Acid Trifluoroacetate Salt

A solution of the product of Part H, above (13.7 mg, 0.0163 mmol), TEA (0.015 mL, 0.108 mmol), and 2-(2-aza-2-((5-((2,5-dioxopyrrolidinyl)carbonyl)(2-pyridyl))-amino)vinyl)benzenesulfonic acid (8.2 mg, 0.0186 mmol) in anhydrous DMF (2.0 mL) was allowed to stand at ambient temperatures under a nitrogen atmosphere for 24 h. The DMF was removed under reduced pressure and the amber oil was dissolved in 50% ACN and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using 0.1% TFA in water for 5 min followed by a 2.52%/min gradient of 0 to 63% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 21.4 min was collected and lyophilized to give the title compound as a colorless powder (12.5 mg, 75%). MS: m/e 913.3 [M+H]; High Resolution MS: Calcd for C₄₂H₄₅N₁₀O₁₀S₂ [M+H]: 913.2761. Found: 913.2751.

Example 5 3-((1-(3-((6-((1-Aza-2-(2-sulfophenyl)vinyl)amino)(3-pyridyl))carbonylamino)propyl)-7-(((1-hydroxyimidazole-2-yl)amino)methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic Acid Trifluoroacetate Salt Part A Methyl 3-((1-(3-Aminopropyl)-7-((imidazole-2-ylamino)methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoate Bis(trifluoroacetate) Salt

A solution of the product of Example 4, Part F (120 mg, 0.124 mmol) and Et₃SiH (0.99 mL, 6.20 mmol) in TFA (10 mL) was heated at 70° C. for 1 h, and concentrated to give an amber oil. This oil was dissolved in water (50 mL) and washed with ether (2×30 mL). The combined ether washings were back-extracted with water (20 mL). The combined water extracts were lyophilized to give the title compound as a colorless powder (105 mg, 100%). MS: m/e 624.4 [M+H]; High Resolution MS: Calcd for C₃₀H₃₈N₇O₆S [M+H]: 624.2604. Found: 624.2608.

Part B 3-((1-(3-Aminopropyl)-7-(((1-hydroxyimidazol-2-yl)amino)methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic Acid Trifluoroacetate Salt

A mixture of the product of Part A, above (105 mg, 0.126 mmol), water (3.0 mL), and 3 N LiOH (1.82 mL) in peroxide-containing THF (4 mL) was allowed to stand at ambient temperatures for 1 h and concentrated under vacuum. The resulting solid was dissolved in water (10 mL) and adjusted to pH 5 with 1.0 N HCl. Insoluble impurities were removed by filtration and the filtrate was lyophilized to give a colorless solid. This solid was dissolved in water and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using 0.1% TFA in water for 5 min followed by a 2.52%/min gradient of 0 to 63% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 19.5 min was collected and lyophilized to give the title compound as a colorless powder (10.0 mg, 11%). MS: m/e 314.0 [M+2H]

Part C 3-((1-(3-((6-((1-Aza-2-(2-sulfophenyl)vinyl)amino)(3-pyridyl))carbonylamino)propyl)-7-(((1-hydroxyimidazole-2-yl)amino)methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic Acid Trifluoroacetate Salt

A solution of the product of Part B, above (10.0 mg, 0.0135 mmol), TEA (0.018 mL, 0.129 mmol), and 2-(2-aza-2-((5-((2,5-dioxopyrrolidinyl)carbonyl)(2-pyridyl))-amino)vinyl)benzenesulfonic acid (7.2 mg, 0.0163 mmol) in anhydrous DMF (4 mL) was allowed to stand at ambient temperatures under a nitrogen atmosphere for 20 h. The DMF was removed under vacuum and the amber oil was dissolved in 30% ACN and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using 0.1% TFA in water for 5 min followed by a 2.52%/min gradient of 0 to 63% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 21.5 min was collected and lyophilized to give the title compound as a colorless powder (3.5 mg, 25%). MS: m/e 929.4 [M+H]; High Resolution MS: Calcd for C₄₂H₄₅N₁₀O₁₁S₂ [M+H]: 929.2710. Found: 929.2698.

Example 6 3-((1-(3-(3-(N-(3-(2-(2-(3-((6-((1-Aza-2-(2-sulfophenyl)vinyl) amino)(3-pyridyl))carbonylamino)propoxy)ethoxy)-ethoxy)propyl)carbamoyl)propanoylamino)propyl)-7-((imidazole-2-ylamino)methyl)-4-oxo(3-hydroquinolyl))-carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)-amino)propanoic Acid Trifluoroacetate Salt Part A 3-(N-(3-(2-(2-(3-((tert-Butoxy)carbonylamino)-propoxy)ethoxy)ethoxy)propyl)carbamoyl)propanoic Acid

A solution of N-(3-(2-(2-(3-aminopropoxy)ethoxy)ethoxy)propyl)(tert-butoxy)formamide (as described by D. S. Wilbur et al. in Bioconjugate Chem. 1998, 9, 322–330) (2.00 g, 6.24 mmol), TEA (1.0 mL, 7.49 mmol), and succinic anhydride (624 mg, 6.24 mmol) in anhydrous DMF (5 mL) was stirred at ambient temperatures under a nitrogen atmosphere for 4 h. The DMF was removed under reduced pressure to give the title compound as a pale yellow oil (2.80 g). MS: m/e 839.5 [2M−H], 419.4 [M−H].

Part B Methyl 3-((1-(3-(3-(N-(3-(2-(2-(3-((tert-Butoxy)carbonylamino)propoxy)ethoxy)ethoxy)propyl) carbamoyl)propanoylamino)propyl-4-oxo-7-(((1-(triphenylmethyl)imidazole-2-yl)amino)methyl)(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoate

The product of Example 4, Part F (46.1 mg, 0.477 mmol) was dissolved in 50% TFA/DCM (2.0 mL) for 15 min at ambient temperatures and concentrated to give a yellow oil. This oil was dissolved in anhydrous DMF (1.0 mL) and made basic to pH paper with TEA. In a separate flask, the product of Part A, above (26.1 mg, 0.062 mmol), TEA (0.014 mL, 0.099 mmol), and HBTU (27.7 mg, 0.074 mmol) were dissolved in anhydrous DMF (1.0 mL). The resulting solution was allowed to react for 5 min and combined with the DMF solution from the TFA deprotection reaction. The combined solutions were allowed to stand at ambient temperatures under a nitrogen atmosphere for 20 min and concentrated under vacuum. The resulting oil was dissolved in 50% ACN and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using a 1.8%/min gradient of 18 to 72% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 26.8 min was collected and lyophilized to give the title compound as a colorless powder (44.5 mg, 68%). MS: m/e 1268.6 [M+H]; High Resolution MS: Calcd for C₆₈H₈₆N₉O₁₃S [M+H]: 1268.6065. Found: 1268.6070.

Part C 3-((1-(3-(3-(N-(3-(2-(2-(3-((tert-Butoxy)carbonylamino)propoxy)ethoxy)ethoxy)propyl)carbam oyl)propanoylamino)propyl-4-oxo-7-(((1-(triphenylmethyl)imidazole-2-yl) amino)methyl) (3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic Acid

A solution of the product of Part B, above (31.1 mg, 0.0227 mmol), 3 n LiOH (0.091 mL), and water (0.117 mL) in MeOH (1.30 mL) was stirred at ambient temperatures for 8.5 h. The MeOH was removed under vacuum and the aqueous mixture was diluted with water (30 mL) and adjusted to pH 4 with 1.0 N HCl. The resulting aqueous mixture was extracted with DCM (2×50 mL). The combined DCM extracts were washed with saturated NaCl (50 mL), dried (MgSO₄), and concentrated to give the title compound as a colorless solid (24.6 mg, 86%).

Part D 3-((1-(3-(3-(N-(3-(2-(2-(3-aminopropoxy)ethoxy)ethoxy)propyl)carbamoyl)-propanoylamino) propyl)-7-((imidazole-2-ylamino)methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic Acid Bis(trifluoroacetate) Salt

A solution of the product of Part C, above (24.6 mg, 0.0194 mmol) and Et₃SiH (0.016 mL, 0.097 mmol) in TFA (2.0 mL) was heated at 70° C. under a nitrogen atmosphere for 3 h, and concentrated to give a yellow solid. This solid was dissolved in water (50 mL) and washed with ether (2×25 mL). The aqueous layer was lyophilized to give the title compound as a pale yellow solid (20.7 mg, 93%). MS: m/e 912.5 [M+H].

Part E 3-((1-(3-(3-(N-(3-(2-(2-(3-((6-((1-Aza-2-(2-sulfophenyl)vinyl) amino)(3-pyridyl))carbonylamino)propoxy)ethoxy)-ethoxy)propyl)carbamoyl)propanoylamino)propyl)-7-((imidazole-2-ylamino)methyl)-4-oxo(3-hydroquinolyl))-carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)-amino)propanoic Acid Trifluoroacetate Salt

A solution of the product of Part D, above (15.5 mg, 0.0136 mmol), TEA (0.010 mL, 0.0746 mmol), and 2-(2-aza-2-((5-((2,5-dioxopyrrolidinyl)carbonyl)(2-pyridyl))-amino)vinyl)benzenesulfonic acid (8.0 mg, 0.0182 mmol) in anhydrous DMF (2.0 mL) was allowed to stand at ambient temperatures under a nitrogen atmosphere for 24 h. The DMF was removed under vacuum and the resulting yellow oil was dissolved in 50% ACN and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using 0.1% TFA in water for 5 min followed by a 2.52%/min gradient of 0 to 63% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 21.7 min was collected and lyophilized to give the title compound as a colorless powder (7.2 mg, 40%). MS: m/e 1215.5 [M+H]; High Resolution MS: Calcd for C₅₆H₇₁N₁₂O₁₅S₂ [M+H]: 1215.4603. Found: 1215.4580.

Example 7 2-(2-Aza-2-(5-(N-(1,3-bis(3-(2-(2-(3-(3-(N-(3-(3-(N-(3-carboxy-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)-ethyl)carbamoyl)-7-((imidazole-2-ylamino)methyl)4-oxohydroquinolyl)propyl)carbamoyl)propanoylamino)propoxy)ethoxy)ethoxy)propyl)carbamoyl)(2-pyridyl))amino)vinyl)benzenesulfonic Acid Bis(trifluoroacetate) Salt Part A N,N′-Bis(3-(2-(2-(3-(3-(N-(3-(3-(N-(3-carbomethoxy-2-(((2,4,6-trimethylphenyl)-sulfonyl)amino)ethyl)carbamoyl)-4-oxo-7-(((1-(triphenylmethyl)imidazole-2-yl)amino)methyl)-hydroquinolyl)propyl)carbamoyl)propanoylamino)propoxy)ethoxy)ethoxy)propyl-2-((tert-butoxy)carbonylamino)pentane-1,5-diamide

A solution of the product of Example 6, Part B (50.5 mg, 0.0398 mmol) in 50/50 TFA/DCM (2 mL) was allowed to react for 20 min at ambient temperatures and concentrated to a viscous oil. This oil was taken up in anhydrous DMF and made basic to pH paper with TEA. This solution was treated with Boc-L-Glu-OH (4.5 mg, 0.0181 mmol) and HBTU (16.6 mg, 0.0438 mmol), and allowed to stand at ambient temperatures for 2 h. The DMF was removed under vacuum and the resulting oil was dissolved in 60% ACN and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using a 1.8%/min gradient of 18 to 72% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 21.5 min was collected and lyophilized to give the title compound as a colorless powder (38.8 mg, 84%). MS: m/e 2306.5 [M+H−Tr], 2064.4 [M+H−2Tr], 1275.0 [M+2H]; High Resolution MS: Calcd for C₁₁₇H₁₅₄N₁₉OS₂ [M+H−Tr]: 2305.0753. Found: 2305.0770.

Part B 2-Amino-N,N′-bis(3-(2-(2-(3-(3-(N-(3-(3-(N-(3-carboxy-2-(((2,4,6-trimethylphenyl)-sulfonyl)amino)ethyl)carbamoyl)-7-((imidazole-2-ylamino)methyl)4-oxohydroquinolyl)propyl)carbamoyl)propanoylamino)propoxy)ethoxy)ethoxy)propyl)pentane-1,5-diamide Tris(trifluoroacetate) Salt

A solution of the product from Part A, above (38.8 mg, 0.0152 mmol), 3 N LiOH (0.075 mL), and water (0.156 mL) in MeOH (2.0 mL) was stirred at ambient temperatures for 18 h. The MeOH was removed under vacuum and the aqueous mixture was diluted with water (50 mL) and adjusted to pH 3 using 0.5 N HCl. The mixture was extracted with DCM (2×50 mL). The combined DCM extracts were washed with saturated NaCl (50 mL), dried (MgSO₄), and concentrated to give a colorless solid. This solid was dissolved in TFA (3.0 mL) along with Et₃SiH (0.031 mL, 0.178 mol), heated at 70° C. under a nitrogen atmosphere for 11 h, and concentrated to give a yellow oil. This oil was dissolved in water (25 mL) and washed with ether (2×25 mL). The aqueous solution was lyophilized to give a pale yellow solid. This solid was dissolved in water and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using 0.1% TFA in water for 5 min followed by a 2.52%/min gradient of 0 to 63% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 22.4 min was collected and lyophilized to give the title compound as a colorless powder (5.1 mg, 18%). MS: m/e 968.2 [M+2H], 646.0 [M+3H].

Part C 2-(2-Aza-2-(5-(N-(1,3-bis(3-(2-(2-(3-(3-(N-(3-(3-(N-(3-carboxy-2-(((2,4,6-trimethylphenyl)-sulfonyl)amino)ethyl)carbamoyl)-7-((imidazole-2-ylamino)methyl)4-oxohydroquinolyl)propyl)carbamoyl)propanoylamino)propoxy)ethoxy)ethoxy)propyl)carbamoyl)(2-pyridyl))amino)vinyl)benzenesulfonic Acid Bis(trifluoroacetate) Salt

A solution of the product of Part B, above (5.1 mg, 0.00224 mmol), TEA (0.002 mL, 0.0115 mmol), and 2-(2-aza-2-((5-((2,5-dioxopyrrolidinyl)carbonyl)(2-pyridyl))-amino)vinyl)benzenesulfonic acid (1.2 mg, 0.00272 mmol) in anhydrous DMF (2.0 mL) was allowed to stand at ambient temperatures under nitrogen for 72 h. The DMF was removed under vacuum and the resulting oil was dissolved in 50% ACN and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using 0.1% TFA in water for 5 min followed by a 2.52%/min gradient of 0 to 63% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 23.5 min was collected and lyophilized to give the title compound as a colorless powder (0.5 mg, 9.0%). MS: m/e 1120.0 [M+2H]; High Resolution MS: Calcd for C₁₀₄H₁₃₇N₂₂O₂₈S₃ [M+]: 2237.9055. Found: 2237.9120.

Example 8 DOTA Conjugate of 3-((1-(3-(3-(N-(3-(2-(2-(N-(L-Asp-L-Asp)3-aminopropoxy)ethoxy)ethoxy)propyl)carbamoyl)-propanoylamino)propyl-7-((imidazole-2-ylamino)methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic Acid Bis(trifluoroacetate Salt Part A Carbobenzyloxy-L-Asp(O-t-Bu)-L-Asp(O-t-Bu)-OMe

A solution of Cbz-Asp(O-t-Bu)-OH (1.54 g, 4.76 mmol), H-Asp(O-t-Bu)-OMe.HCl (1.14 g, 4.76 mmol), DIEA (1.85 mL, 10.5 mmol), and HBTU (1.99 g, 5.24 mmol) in DMF (20 mL) was stirred at ambient temperatures for 18 h. Water (100 mL) and EtOAc (50 mL) were added and the layers were separated. The water layer was extracted with EtOAc (2×50 mL). The combined EtOAc extracts were washed consecutively with water (50 mL), 10% KHSO₄ (2×50 mL), and 10% NaHCO₃ (50 mL). The organic phase was dried (MgSO₄), and concentrated to give an oily solid. This material was triturated with ether to give the title compound as a colorless solid (2.14 g, 89%). MS: m/e 1017.6 [2M+H], 509.4 [M+H].

Part B Carbobenzyloxy-L-Asp(O-t-Bu)-L-Asp(O-t-Bu)-OH

A mixture of the product of Part A, above (200 mg, 0.393 mmol), LiOH (38 mg, 0.865 mmol), water (40 mL), and THF (200 mL) was stirred at ambient temperatures for 28 h, and concentrated to remove THF. The aqueous mixture was diluted with additional water (20 mL) and washed with EtOAc (20 mL). The aqueous phase was adjusted to pH 4 with 1.0 N HCl and extracted with EtOAc (20 mL). The EtOAc extract was washed with saturated NaCl (15 mL), dried (MgSO₄), and concentrated to give a colorless solid. This solid was dissolved in 60% ACN and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using a 2.4%/min gradient of 18 to 90% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 19.0 min was collected and lyophilized to give the title compound as a colorless powder (95 mg, 49%).

Part C Methyl 3-((1-(3-(3-(N-(3-(2-(2-(N-(benzyloxycarbonyl-L-Asp(O-t-Bu)-L-Asp(O-t-Bu))3-aminopropoxy)ethoxy)ethoxy)propyl)carbamoyl)-propanoylamino)propyl-4-oxo-7-(((1-(triphenylmethyl)-imidazole-2-yl)amino)methyl)(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoate

The product of Example 6, Part B (44.0 mg, 0.0894 mmol) in TFA (1.5 mL) was allowed to stand at ambient temperatures for 45 min and concentrated to a yellow oil. This oil was dissolved in anhydrous DMF (2.0 mL) and made basic to pH paper with TEA. In a separate flask, the product of Part B, above (69.3 mg, 0.0547 mmol) was dissolved in anhydrous DMF (2.0 mL) and pre-activated by treatment with TEA (0.015 mL, 0.104 mmol) and HBTU (32.6 mg, 0.0859 mmol). After 10 min this solution was added to the DMF solution from the TFA deprotection reaction, and the combined solutions were stirred at ambient temperatures for 30 min. The DMF was removed under vacuum and the resulting oil was dissolved in 60% ACN and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using a 1.54%/min gradient of 18 to 72% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 29.9 min was adjusted to pH 8 with saturated NaHCO₃ and concentrated to remove the ACN. The remaining aqueous mixture was extracted with EtOAc (2×40 mL). The combined EtOAc extracts were washed with saturated NaCl (40 mL), dried (MgSO₄), and concentrated to give the title compound as a colorless solid (56.4 mg, 63%). MS: m/e 1644.8 [M+H]; High Resolution MS: Calcd for C₈₇H₁₁₀N₁₁O₁₉S [M+H]: 1644.7700. Found: 1644.771.

Part D Methyl 3-((1-(3-(3-(N-(3-(2-(2-(N-(L-Asp(O-t-Bu)-L-Asp(O-t-Bu))3-aminopropoxy)-ethoxy)ethoxy)propyl)carbamoyl)propanoylamino)propyl-4-oxo-7-(((1-(triphenylmethyl)imidazole-2-yl)amino)methyl)(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoate

The product of Part E, above (55.0 mg, 0.0335 mmol) was hydrogenolyzed over 10% Pd/C (25 mg) in MeOH (15 mL) at 40 psi for 3.5 h. The catalyst was removed by filtration through filter aid and the filtrate was concentrated to give the title compound as a pale yellow oil (41.8 mg, 83%). MS: m/e 1510.8 [M+H].

Part E DOTA-tri-t-butyl Ester Conjugate of Methyl 3-((1-(3-(3-(N-(3-(2-(2-(N-(L-Asp(O-t-Bu)-L-Asp(O-t-Bu))3-aminopropoxy)ethoxy)ethoxy)propyl) carbamoyl)-propanoylamino)propyl-4-oxo-7-(((1-(triphenylmethyl)-imidazole-2-yl)amino)methyl)(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoate

A solution of the product of Part D, above (41.8 mg, 0.0277 mmol), the product of Example 2, Part B, 39.9 mg, 0.0436 mmol), TEA (0.023 mL, 0.166 mmol), and HBTU (15.6 mg, 0.0411 mmol) in anhydrous DMF (3.0 mL) was allowed to stand at ambient temperatures under a nitrogen atmosphere for 20 h. The DMF was removed under vacuum and the resulting oil was dissolved in 60% ACN and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using a 2.4%/min gradient of 18 to 90% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 21.2 min was collected and lyophilized to give the title compound as a colorless powder (24.8 mg, 43%). MS: m/e 2066.3 [M+H], 1033.6 [M+2H]; High Resolution MS: Calcd for C₁₀₇H₁₅₄N₁₅O₂₄S [M+H]: 2065.1011. Found: 2065.1030.

Part F DOTA Conjugate of 3-((1-(3-(3-(N-(3-(2-(2-(N-(L-Asp-L-Asp)3-aminopropoxy)-ethoxy)ethoxy)propyl)carbamoyl)propanoylamino)propyl-7-((imidazole-2-ylamino)methyl)-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)propanoic Acid Bis(trifluoroacetate Salt

A mixture of the product of Part G, above (18.8 mg. 0.0091 mmol), water (0.150 mL), 3 N LiOH (0.015 mL), and peroxide-free THF (1.5 mL) was stirred at ambient temperatures for 3 h. The THF was removed under vacuum and the aqueous mixture was diluted with water (40 mL) and adjusted to pH 7 with 0.1 N HCl. The mixture was extracted with DCM (2×30 mL) and the combined extracts were concentrated to give a yellow oil. This oil was dissolved in TFA (1.0 mL) along with Et₃SiH (0.030 mL, 0.184 mmol) and heated at 40° C. under a nitrogen atmosphere for 48 h. The solution was concentrated and the resulting oil was dissolved in water and purified by preparative HPLC on a Vydac C-18 column (22×250 mm) using 0.1% TFA in water for 5 min followed by a 2.52%/min gradient of 0 to 63% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 19.9 min was collected and lyophilized to give the title compound as a colorless powder (1.5 mg, 9.4%). MS: m/e 1528.9 [M+2H], 765.1 [M+2H], 510.7 [M+3H].

Example 9 DOTA/2-Amino-N,N′-bis(3-(2-(2-(3-(3-(N-(3-(3-(N-(3-carboxy-2-(((2,4,6-trimethylphenyl)-sulfonyl)amino)ethyl)carbamoyl)-7-((imidazole-2-ylamino)methyl)4-oxohydroquinolyl)-propyl)carbamoyl)propanoylamino)propoxy)ethoxy)ethoxy)-propyl)pentane-1,5-diamide Tris(trifluoroacetate) Salt Conjugate Part A DOTA-tri-t-butyl Ester/2-Amino-N,N′-bis(3-(2-(2-(3-(3-(N-(3-(3-(N-(3-carboxy-2-(((2,4,6-trimethylphenyl)sulfonyl)amino)ethyl)carbamoyl)-7-((-imidazole-2-ylamino)methyl)4-oxohydroquinolyl)propyl)carbamoyl)-propanoylamino)propoxy)ethoxy)ethoxy)propyl)pentane-1,5-diamide Hexakis(trifluoroacetate) Salt Conjugate

A solution of the product of Example 2, Part B, HBTU, and DIEA in anhydrous DMF is stirred at ambient temperatures under nitrogen for 15 min and treated with the product of Example 7, Part B. The resulting solution is stirred an additional 18 h and the DMF is removed under vacuum. The resulting residue is purified by preparative HPLC on a C18 column using a water:ACN:0.1% TFA gradient. The product fraction is lyophilized to give the title compound.

Part B DOTA/2-Amino-N,N′-bis(3-(2-(2-(3-(3-(N-(3-(3-(N-(3-carboxy-2-(((2,4,6-trimethylphenyl)-sulfonyl)amino)ethyl)carbamoyl)-7-((imidazole-2-ylamino)methyl)4-oxohydroquinolyl)propyl)carbamoyl)-propanoylamino)propoxy)ethoxy)ethoxy)propyl)pentane-1,5-diamide Tris(trifluoroacetate) Salt Conjugate

The product of Part B, above, is dissolved in degassed TFA, treated with triethylsilane, and heated at 50° C. under nitrogen for 1 h. The solution is concentrated under vacuum and the resulting residue is purified by preparative HPLC on a C18 column using a water:ACN:0.1% TFA gradient. The product fraction is lypphilized to give the title compound.

Example 10 DOTA/2-(((4-(3-(N-(3-(2-(2-(3-(2-Amino-3-sulfopropyl)-propoxy)ethoxy)ethoxy)propyl) carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))-carbonylamino)propanoic Acid Trifluoroacetate Salt Conjugate Part A 2-(((4-(3-(N-(3-(2-(2-(3-(2-((tert-Butoxy)-carbonylamino)-3-sulfopropyl)propoxy)ethoxy)ethoxy)-propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))-carbonylamino)propanoic Acid

The product of Example 3, Part I is dissolved in anhydrous DMF and treated with the N-hydroxysuccinimide ester of Boc-cysteic acid (as described in Liebigs Ann. Chem. 1979, 776–783) and DIEA. The solution is stirred at ambient temperatures under nitrogen for 18 h, and the DMF is removed under vacuum. The resulting residue is purified by preparative HPLC on a C18 column using a water:ACN:0.1% TFA gradient. The product fraction is lyophilized to give the title compound.

Part B DOTA-tri-t-butyl Ester/2-(((4-(3-(N-(3-(2-(2-(3-(2-Amino-3-sulfopropyl)propoxy)ethoxy)ethoxy)propyl)-carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic Acid Tetrakis(trifluoroacetate) Salt Conjugate

The product of Part A, above, is dissolved in degassed TFA and stirred at ambient temperatures for 15 min. The solution is concentrated under vacuum, and the resulting residue is dissolved in 50% ACN and lyophilized to remove the last traces of TFA.

In a separate flask, a solution of the product of Example 2, Part B and DIEA in anhydrous DMF are treated with HBTU and allowed to react 15 min at ambient temperatures under nitrogen. The deprotected product from above is added to this solution and stirring is continued at ambient temperatures under nitrogen for 18 h. The DMF is removed under vacuum and the resulting residue is purified by preparative HPLC on a C18 column using a water:ACN:0.1% TFA gradient. The product fraction is lyophilized to give the title compound.

Part C DOTA/2-(((4-(3-(N-(3-(2-(2-(3-(2-Amino-3-sulfopropyl)-propoxy)ethoxy)ethoxy)propyl) carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))-carbonylamino)propanoic Acid Trifluoroacetate Salt Conjugate

The product of Part B, above, and Et₃SiH are dissolved in degassed TFA and heated at 50° C. under nitrogen for 1 h. The solution is concentrated and the resulting residue is purified by preparative HPLC on a C18 column using a water:ACN:0.1% TFA gradient. The product fraction is lyophilized to give the title compound.

Example 11 DOTA/2-(((4-(3-(N-(3-(2-(2-(3-(2-Amino-3-(4-(phosphonooxy)-phenyl) propanoylamino)propoxy)ethoxy)ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic Acid Trifluoroacetate Salt Conjugate

The title compound is prepared by the same procedure described for Example 10 by substituting Boc-Tyr(PO₃H₂)—OSu for Boc-Cys(O₃H)—OSu.

Example 12 DOTA/2-(((4-(3-(N-(3-(2-(2-(3-(2-Amino-3-(4-(sulfooxy)-phenyl)propanoylamino) propoxy)ethoxy)ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic Acid Trifluoroacetate Salt Conjugate

The title compound is prepared by the same procedure described for Example 10 by substituting Boc-Tyr(SO₃H)—OSu for Boc-Cys(O₃H)—OSu.

Example 13 DOTA/2-(((4-(3-(N-(3-(2-(2-(3-(2-Amino-4-(N-(ethyl-3,6-O-disulfo-β-D-galactopyranosyl)carbamoyl)butanoylamino)-propoxy)ethoxy)ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))-carbonylamino)propanoic Acid Conjugate Part A Preparation of Boc-Glu(aminoethyl-3,6-O-disulfo-β-D-galactopyranosyl)-OSu

A solution of Boc-Glu-OMe, aminoethyl-3,6-O-disulfo-β-D-galactopyranoside (as described in Tet. Lett. 1997, 53, 11937–11952), DIEA, and HBTU in anhydrous DMF is stirred at ambient temperatures under nitrogen for 18 h. The DMF is removed under vacuum and the resulting residue is hydrolyzed using aqueous NaOH. The reaction solution is adjusted to pH 7 and purified by preparative anion exchange chromatography using a resin such as DEAE Cellulose and a Et₃NH₂CO₃ gradient. The product fraction is treated with a cation exchange resin, sodium form, to give the intermediate carboxylic acid as the sodium salt.

The above compound, N-hydroxysuccinimide, and DCC are dissolved in anhydrous DMF and stirred at ambient temperatures under nitrogen for 18 h. The DMF is removed under vacuum and the resulting residue is purified by preparative anion exchange chromatography as above to give the title compound as the triethylammonium salt.

Part B DOTA/2-(((4-(3-(N-(3-(2-(2-(3-(2-Amino-4-(N-(ethyl-3,6-O-disulfo-β-D-galactopyranosyl)carbamoyl)butanoylamino)-propoxy)ethoxy)ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))-carbonylamino)propanoic Acid Conjugate

The title compound is prepared by the same procedure described for Example 10 by substituting Boc-Glu(aminoethyl-3,6-O-disulfo-β-D-galactopyranosyl)-OSu for Boc-Cys(O₃H)—OSu.

Example 14 DOTA/2-(((4-(3-(N-(3-(2-(2-(3-(2-Amino-4-(N-(6-deoxy-β-cyclodextryl) carbamoyl)butanoylamino)-propoxy)ethoxy)ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))-carbonylamino)propanoic Acid Bis(trifluoroacetate) Salt Conjugate Part A Preparation of Boc-Glu(6-amino-6-deoxy-β-cyclodextryl)-OMe

A solution of Boc-Glu-OMe, 6-amino-6-deoxy-β-cyclodextrin (as described in J. Org. Chem. 1996, 61, 903–908), DIEA, and HBTU in anhydrous DMF is stirred at ambient temperatures under nitrogen for 18 h. The DMF is removed under vacuum and the resulting residue is purified by preparative HPLC on a C18 column using a water:ACN:0.1% TFA gradient. The product fraction is lyophilized to give the title compound.

Part B Preparation of Boc-Glu(6-amino-6-deoxy-β-cyclodextryl)-OSu

The product of Part A, above, is hydrolyzed by stirring in a mixture of LiOH, THF, and water at ambient temperatures under nitrogen for 4 h. The THF is removed under vacuum and the resulting mixture is diluted with water and adjusted to pH 3 using 0.1 N HCl. The mixture is extracted with EtOAc, and the combined extracts are dried (MgSO₄) and concentrated. The resulting material is dissolved in anhydrous DMF along with N-hydroxysuccinimide, and DCC, and stirred at ambient temperatures under nitrogen for 18 h. The DMF is removed under vacuum and the resulting residue is purified by preparative HPLC on a C18 column using a water:ACN:0.1% TFA gradient. The product fraction is lyophilized to give the title compound.

Part C DOTA/2-(((4-(3-(N-(3-(2-(2-(3-(2-Amino-4-(N-(6-deoxy-β-cyclodextryl)carbamoyl)butanoylamino)-propoxy)ethoxy)ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))-carbonylamino)propanoic Acid Bis(trifluoroacetate) Salt Conjugate

The title compound is prepared by the same procedure described for Example 10 by substituting Boc-Glu(6-amino-6-deoxy-β-cyclodextryl)-OSu for Boc-Cys(O₃H)—OSu.

Example 15 DOTA/2-(((4-(3-(N-(3-(2-(2-(3-(2-Amino-4-(N-((ω-methoxypolyethylene(5,000)glycoxyethyl)carbamoyl)-butanoylamino)propoxy)ethoxy)ethoxy)propyl)carbamoyl)-propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic Acid Bis(trifluoroacetate) Salt Conjugate Part A Preparation of Boc-Glu(amino-ω-methoxypolyethylene glycol)-OMe

A solution of Boc-Glu-OMe, amino-(ω-methoxypolyethylene glycol, (MW=5,000), DIEA, and HBTU in anhydrous DMF is stirred at ambient temperatures under nitrogen for 18 h. The DMF is removed under vacuum and the resulting residue is purified by preparative HPLC on a C18 column using a water:ACN:0.1% TFA gradient. The product fraction is lyophilized to give the title compound.

Part B Preparation of Boc-Glu(amino-ω-methoxypolyethylene glycol)-OSu

The product of Part A, above, is hydrolyzed by stirring in a mixture of LiOH, THF, and water at ambient temperatures under nitrogen for 4 h. The THF is removed under vacuum and the resulting solution is adjusted to pH 7 using 0.1 N HCl. The solution is desalted using a Sephadex PD-10 desalting column and the product eluant is lyophilized. The resulting material is dissolved in anhydrous DMF along with N-hydroxysuccinimide, and DCC, and stirred at ambient temperatures under nitrogen for 18 h. The DMF is removed under vacuum and the resulting residue is purified by preparative HPLC on a C18 column using a water:ACN:0.1% TFA gradient. The product fraction is lyophilized to give the title compound.

Part C DOTA/2-(((4-(3-(N-(3-(2-(2-(3-(2-Amino-4-(N-(ω-methoxypolyethylene(5,000)glycoxyethyl)carbamoyl)-butanoylamino)propoxy)ethoxy)ethoxy)propyl)carbamoyl)-propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic Acid Bis(trifluoroacetate) Salt Conjugate

The title compound is prepared by the same procedure described for Example 10 by substituting Boc-Glu(amino-ω-methoxypolyethylene glycol)-OSu for Boc-Cys(O₃H)—OSu.

Example 16 2-(((4-(3-(N-(3-(2-(2-(3-(2-(1,4,7,10-Tetraaza-4,7,10-tris(carboxymethyl) cyclododecylacetylamino)-6-aminohexanoylamino)propoxy)ethoxy)ethoxy)-propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))-carbonylamino)propanoic Acid Tris(trifluoroacetate) Salt

The title compound is prepared by the same procedure described for Example 10 by substituting Boc-Lys(Cbz)-OSu for Boc-Cys(O₃H)—OSu.

Example 17 2-(((4-(3-(N-(3-(2-(2-(3-(2-(1,4,7,10-Tetraaza-4,7,10-tris(carboxymethyl) cyclododecylacetylamino)-6-(2-(bis(phosphonomethyl)amino)acetylamino)hexanoylamino)-propoxy)ethoxy)ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))-carbonylamino)propanoic Acid Conjugate

A solution of bis(phosphonomethyl)glycine, DIEA, and HBTU in anhydrous DMF is stirred at ambient temperatures under nitrogen for 15 min, and treated with the product of Example 16. Stirring is continued for 18 h and the DMF is removed under vacuum. The resulting residue is purified by ion exchange chromatography.

Example 18 2-(((4-(3-(N-(3-(2-(2-(3-(2-(2-((2-((2-(bis(carboxymethyl)-amino)ethyl)(carboxymethyl)amino)ethyl)(carboxymethyl)am ino)acetylamino)-3-sulfopropyl)propoxy)ethoxy)-ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)-sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic Acid

The product of Example 10, Part A is dissolved in degassed TFA and stirred at ambient temperatures for 15 min. The solution is concentrated under vacuum, and the resulting residue is dissolved in 50% ACN and lyophilized to remove the last traces of TFA. The material is dissolved in anhydrous DMF along with DIEA and diethylenetriaminepentaacetic dianhydride. The resulting solution is stirred at ambient temperatures under nitrogen for 18 h. The DMF is removed under vacuum and the resulting residue is purified by preparative HPLC on a C18 column using a water:ACN:0.1% TFA gradient. The product fraction is lyophilized to give the title compound.

The following procedure describe the synthesis of radiopharmaceuticals of the present invention of the formula ^(99m)Tc(VnA) (tricine) (phosphine), in which (VnA) represents a vitronectin receptor antagonist compound of the present invention bonded to the Tc through a diazenido (—N═N—) or hydrazido (═N—NH—) moiety. The diazenido or hydrazido moiety results from the reaction of the hydrazinonicotinamido group, present either as the free hydrazine or protected as a hydrazone, with the Tc-99m. The other two ligands in the Tc coordination sphere are tricine and a phosphine.

Examples 19–23

Synthesis of Complexes [^(99m)Tc(HYNIC-VnA) (tricine)(TPPTS)].

To a lyophilized vial containing 4.84 mg TPPTS, 6.3 mg tricine, 40 mg mannitol, succinic acid buffer, pH 4.8, and 0.1% Pluronic F-64 surfactant, was added 1.1 mL sterile water for injection, 0.2 mL (20 μg) of the appropriate HYNIC-conjugated vitronectin antagonist (VnA) in deionized water or 50% aqueous ethanol, and 0.2 mL of ^(99m)TcO₄ ⁻ (50±5 mCi) in saline. The reconstituted kit was heated in a 100° C. water bath for 15 minutes, and was allowed to cool 10 minutes at room temperature. A sample of the reaction mixture was analyzed by HPLC. The RCP results are listed in the Table 1.

HPLC Method

-   Column: Zorbax C18 , 25 cm×4.6 mm -   Flow rate: 1.0 mL/min -   Solvent A: 10 mM sodium phosphate buffer, pH 6.0 -   Solvent B: 100% CH3CN

Gradient A (Exs. 19, 20, 21) t (min) 0 20 21 30 31 40 % Solvent B 0 25 75 75  0  0 Gradient B (Ex. 22) t (min) 0 20 30 31 40 % Solvent B 0 50 50  0  0 Gradient C (Ex. 23) t (min) 0 20 21 30 31 40 % Solvent B 10  30 75 75  0  0

TABLE 1 Analytical and Yield Data for ^(99m)TC(VnA) (tricine) (TPPTS) Complexes Ret. Time Example No. Reagent No. (min) % Yield 19 1  8.8 73 20 3 17.2 81 21 4 17.6 68 22 6 11.7 79 23 7 16.4 52

Example 24 Synthesis of the In-111 Complex of 3-((7-((Imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)-2-(((4-(4-(((3-(2-(2-(3-(2-(1,4,7,10-tetraaza-4,7,10-tris(carboxylmethyl)cyclododecyl)acetylamino)-propoxy)ethoxy)ethoxy)propyl)amino)sulfonyl)-phenyl) phenyl)sulfonyl)amino)propanoic Acid

To a lead shielded and crimped autosampler vial was added 35 μg of the conjugate of Example 2 and 1.0 mg gentisic acid, sodium salt dissolved in 70 μL ammonium acetate buffer (0.4 M, pH 4.7) followed by the addition of 2 mCi, 20 μL In-111 in 0.05 N HCl (specific activity: 17 μg/mCi). The reaction mixture was heated at 70–80° C. for 60 min and analyzed by HPLC and ITLC. The complex was formed in 93% yield and had a retention time of 19.6 min.

HPLC Method

-   Column: Zorbax Rx C18, 25 cm×4.6 mm -   Column Temperature: Ambient -   Flow: 1.0 mL/min -   Solvent A: 10% Acetonitrile/0.1% TFA/H₂O -   Solvent B: Acetonitrile -   Detector: Sodium iodide (NaI) radiometric probe     Gradient

t (min)  0 25 26 35 36 45 % B 10 20 60 60 10 10

Example 25 Synthesis of the Gadolinium Complex of 2-(((4-(3-(N-(3-(2-(2-(3-(2-(2-((2-((2-(bis(carboxymethyl)-amino)ethyl)(carboxymethyl)amino)ethyl)(carboxymethyl)amino) acetylamino)-3-sulfopropyl)propoxy)ethoxy)-ethoxy)propyl)carbamoyl)propoxy)-2,6-dimethylphenyl)-sulfonyl)amino)-3-((7-((imidazol-2-ylamino)methyl)-1-methyl-4-oxo(3-hydroquinolyl))carbonylamino)propanoic Acid

The gadolinium complex of the conjugate of Example 18 is prepared according to the following procedure. 3–3.5 mg of the conjugate is dissolved in 2 mL 1 M ammonium acetate buffer at pH 7.0, and one equivalent Gd(NO₃)₃ solution (0.02 M in water) is added to it. The reaction mixture is allowed to stay at room temperature for 3–5 hours and the product is isolated by HPLC. The fraction containing the complex is lyophilized and dissolved in 1 mL H₂O. The identity of the complex is confirmed by mass spectroscopy.

Example 26 Synthesis of (2S)-2-[({2,6-Dimethyl-4-[3-(N-{2-[3-sulfo-2-(3-sulfo-2-{2-[1,4,7,10-tetraaza-4,7,10-tris(carboxymethyl)cyclododecyl]acetylamino}propyl)propyl]ethyl}carbamoyl)-propoxy]phenyl}sulfonyl)amino]-3-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}-carbonylamino)propanoic Acid Trifluoroacetate Salt

Part A Preparation of Methyl (2S)-3-[(tert-Butoxy)-carbonylamino]-2-[({2,6-dimethyl-4-[3-(N-{2-[(phenylmethoxy)carbonylamino]ethyl}carbamoyl)propoxy]-phenyl}sulfonyl)amino]propanoate

A solution of the product of Example 3, Part D (369 mg, 0.756 mmol), DIEA (0.52 mL, 3.0 mmol), and HBTU (315 mg, 0.832 mmol) in anhydrous DMF (14 mL) was stirred at ambient temperatures under nitrogen for 5 min, and treated with benzyl N-(2-aminoethyl)carbamate hydrochloride (192 mg, 0.832 mmol), and stirred an additional 1 h. The DMF was removed under vacuum, and the oily residue was taken up in EtOAc (150 mL), washed consecutively with 0.1 N HCl (40 mL), water (40 mL), and saturated NaCl (40 mL), dried (MgSO₄), and concentrated to give a colorless viscous oil. Flash chromatography on a 3×16 cm silica gel column (EtOAc) gave the title compound as a colorless viscous oil (450 mg, 89.6%). ¹H NMR (CDCl₃): δ 7.34–7.27 (m, 5H), 6.58 (s, 2H), 6.31 (bs, 1H), 5.86 (bs, 1H), 5.36 (bs, 1H), 5.14–5.03 (m, 3H), 3.96 (t, J=6.0 Hz, 2H), 3.88–3.83 (m, 1H), 3.56 (s, 3H), 3.47–3.25 (m, 6H), 2.59 (s, 6H), 2.31 (t, J=6.9 Hz, 2H), 2.05 (p, J=6.6 Hz, 2H), 1.39 (s, 9H); ¹³C NMR (CDCl₃) : δ 172.9, 170.5, 160.6, 157.3, 155.9, 141.8, 136.3, 128.5, 128.2, 128.0, 116.6, 79.9, 66.9, 55.5, 52.8, 43.1, 40.9, 40.3, 32.4, 28.2, 24.9, 23.3; MS: m/e 665.4 [M+H]; 687.3 [M+Na]; High Resolution MS: Calcd for C₃₁H₄₅N₄O₁₀S [M+H]: 665.2856. Found: 665.2883.

Part B Preparation of Methyl (2S)-3-Amino-2-[({2,6-dimethyl-4-[3-(N-{2-[(phenylmethoxy)carbonylamino]ethyl}carbamoyl)propoxy]phenyl}sulfonyl)amino]propanoate Trifluoroacetate Salt

The product of Part A, above (420 mg, 0.632 mmol) was dissolved in 25/75 DCM/TFA (20 mL) and allowed to stand at ambient temperatures under nitrogen for 10 min. The solution was concentrated, and the resulting viscous oil was dissolved in 50% ACN and lyophilized to give the title compound as a colorless solid (437 mg, 102%). MS: m/e 565.3 [M+H].

Part C Preparation of Methyl (2S)-2-[({2,6-Dimethyl-4-[3-(N-{2-[(phenylmethoxy)carbonylamino]ethyl}carbamoyl)-propoxy]phenyl}sulfonyl)amino]-3-{[1-methyl-4-oxo-7-({[1-(triphenylmethyl)imidazol-2-yl]amino}methyl)(3-hydroquinolyl)]carbonylamino}propanoate

A solution of 1-methyl-4-oxo-7-(((1-(triphenylmethyl)imidazol-2-yl)amino)methyl)hydroquinoline-3-carboxylic acid (702 mg, 1.30 mmol), DIEA (0.678 mL, 3.90 mmol), and HBTU (542 mg, 1.43 mmol) in anhydrous DMF (60 mL) was stirred at ambient temperatures under nitrogen for 10 min, and treated with the product of Step B, above (881 mg, 1.30 mmol). After 75 min the DMF was removed under vacuum and the resulting oil was purified by HPLC on a Vydac C-18 column (50×250 mm) using a 1.24%/min gradient of 18 to 67.5% ACN containing 0.1% TFA at a flow rate of 80 mL/min. A peak eluting at 18.9 min was lyophilized to give unreacted 1-methyl-4-oxo-7-(((1-(triphenylmethyl)-imidazol-2-yl)amino)methyl)hydroquinoline-3-carboxylic acid (308 mg). The main product peak eluting at 23.7 min was lyophilized to give the title compound as a colorless solid (890 mg, 63.0%). ¹H NMR (CDCl₃/D₂O): δ8.50 (s, 1H), 8.18 (d, J=8.3 Hz, 1H), 7.70 (s, 1H), 7.51–7.25 (m, 15H), 7.25–7.12 (m, 5H), 6.97 (s, 1H), 6.58 (d, J=2.3 Hz, 1H), 6.34 (s, 2H), 6.32 (d, J=8.5 Hz, 1H), 5.09 (s, 2H), 4.65 (s, 2H), 4.29–4.23 (m, 1H), 3.88 (s, 3H), 3.80–3.50 (m, 7H), 3.41–3.28 (m, 4H), 2.61 (s, 6H), 2.26–2.11 (m, 2H), 1.92–1.76 (m, 2H); MS: m/e 1087.4 [M+H]; 845.3 [M+H-Tr]; High Resolution MS: Calcd for C₆₀H₆₃N₈O₁₀S [M+H]: 1087.4388. found: 1087.440.

Part D Preparation of Methyl (2S)-2-{[(4-{3-[N-(2-Aminoethyl)carbamoyl]propoxy}-2,6-dimethylphenyl)-sulfonyl]amino}-3-{[1-methyl-4-oxo-7-({[1-(triphenylmethyl)imidazol-2-yl]amino}methyl)(3-hydroquinolyl)]carbonylamino}propanoate

Hydrogenolysis of the product of Part C, above (468 mg, 0.431 mmol) was accomplished in MeOH (100 mL) over 10% Pd/C (95 mg) at 60 psi for 1 h. The catalyst was removed by filtration through Celite® and the filtrate was concentrated to give the title compound as a pale amber oil (405 mg, 98.7%). MS: m/e 953.3 [M+H], 711.3 [M+H-Trityl].

Part E Preparation of (2R)-N-{2-[4-(4-{[((1S)-1-(Methoxycarbonyl)-2-{[l-methyl-4-oxo-7-({[1-(triphenylmethyl)imidazol-2-yl]amino}methyl)(3-hydroquinolyl)]carbonylamino}ethyl)amino]sulfonyl}-3,5-dimethylphenoxy)butanoylamino]ethyl}-2-[(tert-butoxy)carbonylamino]propanesulfonic Acid

A solution of the product of Part E, above (405 mg, 0.425 mmol), the p-nitrophenyl ester of Boc-L-cysteic acid (425 mg, 1.03 mmol), and DIEA (0.435 mL, 2.55 mmol) in anhydrous DMF (20 mL) was stirred at ambient temperatures under nitrogen for 3 h. The DMF was removed under vacuum and the resulting oil was purified by HPLC on a Vydac C-18 column (50×250 mm) using a 1.12%/min gradient of 9 to 54% ACN containing 0.1% TFA at a flow rate of 80 mL/min. The main product peak eluting at 37.3 min was lyophilized to give the title compound as a colorless solid (410 mg, 80.2%). MS: m/e 1204.4 [M+H], 962.3 [M+H-Trt].

Part F Preparation of (2R)-N-{2-[4-(4-{[((1S)-1-(Methoxycarbonyl)-2-{[1-methyl-4-oxo-7-({[1-(triphenylmethyl)imidazol-2-yl]amino}methyl)(3-hydroquinolyl)]carbonylamino}ethyl)amino]sulfonyl}-3,5-dimethylphenoxy)butanoylamino]ethyl}-2-aminopropanesulfonic Acid

The product of Part E, above (410 mg, 0.341 mmol) was dissolved in 50/50 TFA/DCM (20 mL) and allowed to react at ambient temperatures for 10 min. The solution was concentrated and the resulting amber oil was dissolved in 50% ACN (50 mL) and lyophilized to give the title compound as a colorless solid (371 mg, 98.6%). MS: m/e 1104.4 [M+H], 862.3 [M+H-Trt]; High Resolution MS: Calcd for C₅₅H₆₂N₉O₁₂S₂ [M+H]: 1104.3959. Found: 1104.393.

Part G Preparation of (2R)-N-[(1R)-1-(N-{2-[4-(4-{[((1S)-1-(Methoxycarbonyl)-2-{[1-methyl-4-oxo-7-({[1-(triphenylmethyl)imidazol-2-yl]amino}methyl)(3-hydroquinolyl)]carbonylamino}ethyl)amino]sulfonyl}-3,5-dimethylphenoxy)butanoylamino]ethyl}carbamoyl)-2-sulfoethyl]-2-[(tert-butoxy)carbonylamino]propanesulfonic Acid

A solution of the product of Part F, above (110 mg, 0.100 mmol), the p-nitrophenyl ester of Boc-L-cysteic acid (82.4 mg, 0.200 mmol), and DIEA (0.104 mL, 0.600 mmol) in anhydrous DMF (5.0 mL) was stirred at ambient temperatures under nitrogen for 48 h. The DMF was removed under vacuum and the resulting amber oil was purified by HPLC on a Vydac C-18 column (50×250 mm) using a 1.12%/min gradient of 9 to 54% ACN containing 0.1% TFA at a flow rate of 80 mL/min. The main product peak eluting at 37.0 min was lyophilized to give the title compound as a colorless solid (96.0 mg, 70.9%). MS: m/e 1355.3 [M+H], 1113.3 [M-Trt+H], 1013.2 [M-Trt-Boc+H].

Part H Preparation of (2R)-N-[(1R)-1-(N-{2-[4-(4-{[((1S)-1-(Methoxycarbonyl)-2-{[1-methyl-4-oxo-7-({[1-(triphenylmethyl)imidazol-2-yl]amino}methyl)(3-hydroquinolyl)]carbonylamino}ethyl)amino]sulfonyl}-3,5-dimethylphenoxy)butanoylamino]ethyl}carbamoyl)-2-sulfoethyl]-2-aminopropanesulfonic Acid

The product of Part G, above (21 mg, 0.0155 mmol) was dissolved in 50/50 TFA/DCM (5.0 mL) and allowed to react at ambient temperatures for 10 min. The solution was concentrated and the residue was taken up in 50% ACN (15 mL) and lyophilized to give the title compound as a colorless solid (18.7 mg, 96.2%). MS: m/e 1255.3 [M+H], 1013.2 [M+H-Trityl]; High Resolution MS: Calcd for C₅₈H₆₇N₁₀O₁₆S₃ [M+H]: 1255.3899. Found: 1255.391.

Part I Preparation of (2R)-N-[(1R)-1-(N-{2-[4-(4-{[((1S)-1-(Methoxycarbonyl)-2-{[1-methyl-4-oxo-7-({[1-(triphenylmethyl)imidazol-2-yl]amino}methyl)(3-hydroquinolyl)]carbonylamino}ethyl)amino]sulfonyl}-3,5-dimethylphenoxy)butanoylamino]ethyl}carbamoyl)-2-sulfoethyl]-2-(2-{1,4,7,10-tetraaza-4,7,10-tris[(tert-butoxycarbonyl)methyl]cyclododecyl}acetylamino)propanesulfonic Acid

A solution of 2-(1,4,7,10-tetraaza-4,7,10-tris(((tert-butyl)oxycarbonyl)methyl)cyclododecyl)acetic acid (30.0 mg, 0.0327 mmol) (as described in Example 2, part B), DIEA (0.034 mL, 0.196 mmol), and HBTU (9.3 mg, 0.0245 mmol) in anhydrous DMF (1.5 mL) was stirred under nitrogen at ambient temperatures for 15 min and treated with the product of Part H, above (18.7 mg, 0.0137 mmol). The DMF was removed under vacuum after 75 min and the resulting amber oil was purified by HPLC on a Vydac C-18 column (22×250 mm) using a 0.9%/min gradient of 22.5 to 58.5% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 26.1 min was lyophilized to give the title compound as acolorless fluffy solid (7.5 mg, 53%). MS: m/e 1809.7 [M+H].

Part J Preparation of (2S)-2-[({2,6-Dimethyl-4-[3-(N-{2-[3-sulfo-2-(3-sulfo-2-{2-[1,4,7,10-tetraaza-4,7,10-tris(carboxymethyl)cyclododecyl]acethylamino}propyl)-propyl]ethyl}carbamoyl)propoxy]phenyl}sulfonyl) amino]-3-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}carbonylamino)propanoic Acid Trifluoroacetate Salt

The product of Step I, above (7.5 mg, 0.0039 mmol) was dissolved in a solution of peroxide-free THF (1.40 mL) and water (0.21 mL), and treated with 3 N LiOH (0.14 mL). The mixture was stirred at ambient temperatures under nitrogen for 1 h, and concentrated to dryness under vacuum. The resulting solid residue was dissolved in 95/5 TFA/Et₃SiH (2.0 mL) and heated at 70° C. under nitrogen for 1 h. The solution was concentrated under vacuum and the resulting solid residue was purified by HPLC on a Vydac C-18 column (22×250 mm) using a 0.90%/min gradient of 0 to 27% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 20.5 min was lyophilized to give the title compound as a colorless fluffy solid (4.2 mg, 71.9%). MS: m/e 1385.3 [M+H]; High Resolution MS: Calcd for C₅₄H₇₇N₁₄O₂₃S₃ [M+H]: 1385.4448. found: 1385.446.

Example 27 Synthesis of DOTA/(2S)-2-{[(4-{3-[N-(2-{2-[(4S)-4-(N-{1-[N-(2-{4-[4-({[(1S)-1-Carboxy-2-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}-carbonylamino)ethyl]amino}sulfonyl)-3,5-dimethylphenoxy]butanoylamino}ethyl)carbamoyl]-2-sulfoethyl}carbamoyl)-4-aminobutanoylamino]-3-sulfopropyl}ethyl)carbamoyl]propoxy}-2,6-dimethylphenyl)sulfonyl]amino}-3-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}-carbonylamino)propanoic Acid Conjugate Bis(trifluoroacetate) Salt

Part A Preparation of Di-2,3,5,6-tetrafluorophenyl (2S)-2-[(tert-Butoxy)carbonylamino]pentane-1,5-dioate

To a solution of Boc-L-Glu-OH (28.9 g, 117 mmol) in DMF (500 mL) at ambient temperatures and under nitrogen, was added a solution of 2,3,5,6-tetrafluorophenol (48.2 g, 290 mmol) in DMF (50 mL). After stirring for 10 min, EDC (55.6 g, 290 mmol) was added and the mixture was stirred for 96 h. The volatiles were removed under vacuum and the residue was triturated with 0.1 N HCl (750 mL). To this mixture was added EtOAc (600 mL) and the layers were separated. The aqueous layer was extracted with EtOAc (3×500 mL), and all EtOAc extracts were combined, washed consecutively with water (300 mL) and saturated NaCl (300 mL), dried (MgSO₃), and concentrated to give a tan solid (62 g). The tan solid was washed with ACN to give the title compound (45.5 g, 73.0%) in purified form. MS: m/e 566.0 [M+Na].

Part B Preparation of (2R)-2-[4-(N-{(1R)-1-[N-(2-{4-[4-({[(1S)-2-({7-[([1-(Triphenylmethyl)imidazol-2-yl]amino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}-carbonylamino)-1-(methoxycarbonyl)ethyl]amino}sulfonyl)-3,5-dimethylphenoxy]butanoylamino}ethyl)carbamoyl]-2-sulfoethyl}carbamoyl)(4S)-4-[(tert-butoxy)carbonylamino]butanoylamino]-N-(2-{4-[4-({[(1S)-2-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}carbonylamino)-1-(methoxycarbonyl)ethyl]amino}sulfonyl)-3,5-dimethylphenoxy]butanoylamino}ethyl)propanesulfonic Acid

A solution of the product of Example 26, Part F (130 mg, 0.118 mmol), the product of Part A, above (27.2 mg, 0.050 mmol), and DIEA (0.070 mL, 0.40 mmol) in anhydrous DMF (4.0 mL) was stirred at ambient temperatures under nitrogen for 29 h. The DMF was removed under vacuum and the resulting amber oil was purified by HPLC on a Vydac C-18 column (50×250 mm) using a 0.90%/min gradient of 22.5 to 58.5% ACN containing 0.1% TFA at a flow rate of 80 mL/min. The main product peak eluting at 35.7 min was lyophilized to give the title compound as a colorless fluffy solid (108 mg, 89.3%). MS: m/e 2419.6 [M+H], 1210.4 [M+2H].

Part C Preparation of (2R)-2-[4-(N-{(1R)-1-[N-(2-{4-[4-({[(1S)-2-({7-[([1-(Triphenylmethyl)imidazol-2-yl]amino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}-carbonylamino)-1-(methoxycarbonyl)ethyl]amino}sulfonyl)-3,5-dimethylphenoxy]butanoylamino}ethyl)carbamoyl]-2-sulfoethyl}carbamoyl)(4S)-4-aminobutanoylamino]-N-(2-{4-[4-({[(1S)-2-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}carbonylamino)-1-(methoxycarbonyl)ethyl]amino}sulfonyl)-3,5-dimethylphenoxy]butanoylamino}ethyl)propanesulfonic Acid

The product of Part B, above (107 mg, 0.0442 mmol) was dissolved in 50/50 TFA/DCM (5.0 mL) and allowed to react at ambient temperatures under nitrogen for 10 min. The solution was concentrated and the resulting amber oil was dissolved in 50% ACN (25 mL) and lyophilized to give the title compound as a pale yellow solid (105 mg, 98.0%). MS: m/e 1159.9 [M+2H], 1039.4 [M+2H-Trt].

Part D Preparation of DOTA tri-t-Butyl Ester/(2R)-2-[4-(N-{(1R)-1-[N-(2-{4-[4-({[(1S)-2-({7-[([1-(Triphenylmethyl)imidazol-2-yl]amino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}carbonylamino)-1-(methoxycarbonyl)ethyl]amino}sulfonyl)-3,5-dimethylphenoxy]butanoylamino}ethyl)carbamoyl]-2-sulfoethyl}carbamoyl)(4S)-4-aminobutanoylamino]-N-(2-{4-[4-({[(1S)-2-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}carbonylamino)-1-(methoxycarbonyl)ethyl]amino}sulfonyl)-3,5-dimethylphenoxy]butanoylamino}ethyl)propanesulfonic Acid Conjugate

A solution of 2-(1,4,7,10-tetraaza-4,7,10-tris(((tert-butyl)oxycarbonyl)methyl)cyclododecyl)acetic acid (31.6 mg, 0.0346 mmol) (as described in Example 2, part B), DIEA (0.072 mL, 0.416 mmol), and HBTU (9.8 mg, 0.026 mmol) in anhydrous DMF (1.8 mL) was stirred under nitrogen at ambient temperatures for 15 min and treated with the product of Part C, above (40.0 mg, 0.0173 mmol). The DMF was removed under vacuum after 90 min and the resulting pale yellow oil was purified by HPLC on a Vydac C-18 column (50×250 mm) using a 1.01%/min gradient of 22.5 to 63.0% ACN containing 0.1% TFA at a flow rate of 80 mL/min. The main product peak eluting at 27.6 min was lyophilized to give the title compound as a colorless solid (29.0 mg, 62.4%). MS: m/e 1437.6 [M+2H], 1316.6 [M+2H-Trt].

Part E Preparation of DOTA/(2S)-2-{[(4-{3-[N-(2-{2-[(4S)-4-(N-{1-[N-(2-{4-[4-({[(1S)-1-Carboxy-2-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}carbonylamino)ethyl]amino}sulfonyl)-3,5-dimethylphenoxy]butanoylamino}ethyl)carbamoyl]-2-sulfoethyl}carbamoyl)-4-aminobutanoylamino]-3-sulfopropyl}ethyl)carbamoyl]propoxy}-2,6-dimethylphenyl)sulfonyl]amino}-3-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}-carbonylamino)propanoic Acid Conjugate Bis(trifluoroacetate) Salt

A mixture of the product of Part D, above (30.0 mg, 0.0104 mmol), peroxide-free THF (3.2 mL), water (0.485 mL), and 3 N LiOH (0.320 mL, 0.96 mmol) was stirred at ambient temperatures under nitrogen for 2 h. The solution was concentrated under vacuum and the resulting solid residue was dissolved in 95/5 TFA/Et₃SiH (5.0 mL). The solution was heated at 70° C. under nitrogen for 1 h and concentrated under vacuum. The resulting oily solid was purified by HPLC on a Vydac C-18 column (22×250 mm) using a 0.90%/min gradient of 0 to 27% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 27.8 min was lyophilized to give the title compound as a colorless fluffy solid (12.8 mg, 48.5%). MS: m/e 1096.8 [M+2H], 731.8 [M+3H]; High Resolution MS: Calcd for C₉₁H₁₂₂N₂₃O₃₃S₄ [M+H]: 2192.7458. Found: 2192.741.

Example 28 Synthesis of 2-[({4-[3-(N-{2-[(2R)-2-((2R)-3-Sulfo-2-{2-[1,4,7,10-tetraaza-4,7,10-tris(carboxymethyl)cyclododecyl]acetylamino}propyl)-3-sulfopropyl]ethyl}carbamoyl)propoxy]-2,6-dimethylphenyl}sulfonyl)amino](2S)-3-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}-carbonylamino)propanoic Acid Trifluoroacetate Salt

Part A Preparation of 2-({[4-(3-{N-[2-((2R)-2-Amino-3-sulfopropyl)ethyl]carbamoyl}propoxy)-2,6-dimethylphenyl]sulfonyl}amino)(2S)-3-{[1-methyl-4-oxo-7-({[1-(triphenylmethyl)imidazol-2-yl]amino}methyl)(3-hydroquinolyl)]carbonylamino}propanoic Acid

A mixture of the product of Example 26, Part F (125 mg, 0.113 mmol), peroxide-free THF (3.8 mL), water (0.57 mL), and 3 N LIOH (0.38 mL, 1.13 mmol) was stirred at ambient temperatures under nitrogen for 1 h. The mixture was adjusted to pH 1 using 1 N HCl (0.70 mL) and concentrated to dryness under vacuum. The resulting solid was purified by HPLC on a Vydac C-18 column (50×250 mm) using a 0.90%/min gradient of 18 to 54% ACN containing 0.1% TFA at a flow rate of 80 mL/min. The main product peak eluting at 21.0 min was lyophilized to give the title compound as a colorless solid (96.0 mg, 77.9%). MS: m/e 1090.3 [M+H], 848.2 [M+H-Trt]; High Resolution MS: Calcd for C₅₄H₆₀N₉O₁₂S₂ [M+H]: 1090.3808. Found: 1090.381.

Part B Preparation of 2-({[4-(3-{N-[2-((2R)-2-{(2R)-2-[(tert-Butoxy)carbonylamino]-3-sulfopropyl}-3-sulfopropyl)ethyl]carbamoyl}propoxy)-2,6-dimethylphenyl]sulfonyl}amino)(2S)-3-{[1-methyl-4-oxo-7-({[1-(triphenylmethyl)imidazol-2-yl]amino}methyl)(3-hydroquinolyl)]carbonylamino}propanoic Acid

A solution of Boc-L-cysteic acid (37.0 mg, 0.128 mmol), DIEA (0.040 mL, 0.228 mmol), and PyBOP (53.0 mg, 0.102 mmol) in anhydrous DMF (1.0 mL) was stirred at ambient temperatures under nitrogen for 15 min, and added to a solution of the product of Part A, above (93.0 mg, 0.0854 mmol) and DIEA (0.045 mL, 0.256 mmol) in anhydrous DMF (3.0 mL). The resulting solution was stirred at ambient temperatures under nitrogen for 1.5 h and concentrated to a viscous amber oil. Purification by HPLC on a Vydac C-18 column (50×250 mm) using a 0.68%/min gradient of 18 to 45% ACN containing 0.1% TFA at a flow rate of 80 mL/min. The main product peak eluting at 36.4 min was lyophilized to give the title compound as a colorless solid (94.0 mg, 82.1%). MS: m/e 1341.2 [M+H], 1099.1 [M+H-Trt], 999.1 [M+H-Trt-Boc].

Part C Preparation of 2-{[(4-{3-[N-(2-{(2R)-2-[(2R)-3-Sulfo-2-(2-{1,4,7,10-tetraaza-4,7,10-tris[(tert-butoxycarbonyl)methyl]cyclododecyl}acetylamino)propyl]-3-sulfopropyl}ethyl)carbamoyl]propoxy}-2,6-dimethylphenyl)sulfonyl]amino}(2S)-3-{[1-methyl-4-oxo-7-({[1-(triphenylmethyl)imidazol-2-yl]amino}methyl)(3-hydroquinolyl)]carbonylamino}propanoic Acid

A solution of the product of Part B, above (90.0 mg, 0.0672 mmol) in 50/50 TFA/DCM (10.0 mL) was allowed to react at ambient temperatures under nitrogen for 10 min and concentrated under vacuum to give the intermediate amine as an amber oil. MS: m/e 1241.3 [M+H], 999.3 [M+H-Trt]; High Resolution MS: Calcd for C₅₇H₆₅N₁₀O₁₆S₃ [M+H]: 1241.3742. Found: 1241.375.

A solution of 2-(1,4,7,10-tetraaza-4,7,10-tris(((tert-butyl)oxycarbonyl)methyl)cyclododecyl)acetic acid (123 mg, 0.134 mmol) (as described Example 2, part B), DIEA (0.092 mL, 0.538 mmol), and PyBOP (52.4 mg, 0.101 mmol) in anhydrous DMF (1.5 mL) was stirred under nitrogen at ambient temperatures for 15 min, and added to a solution of the free amine produced above (90.0 mg, 0.0672 mmol) and DIEA (0.046 mL, 0.269 mmol) in anhydrous DMF (1.5 mL). The DMF was removed under vacuum after 1 h and the resulting amber oil was purified by HPLC on a Vydac C-18 column (50×250 mm) using a 0.288%/min gradient of 30.6 to 45% ACN containing 0.1% TFA at a flow rate of 80 mL/min. The main product peak eluting at 25.8 min was lyophilized to give the title compound as a colorless solid (92.0 mg, 76.3%). MS: m/e 1795.6 [M+H], 1553.5 [M+H-Trt]; High Resolution MS: Calcd for C₈₅H₁₁₅N₁₄O₂₃S₃ [M+H]: 1795.7422. Found: 1795.744.

Part D Preparation of 2-[({4-[3-(N-{2-[(2R)-2-((2R)-3-Sulfo-2-{2-[1,4,7,10-tetraaza-4,7,10-tris(carboxymethyl)cyclododecyl]acetylamino}propyl)-3-sulfopropyl]ethyl}carbamoyl)propoxy]-2,6-dimethylphenyl}sulfonyl)amino](2S)-3-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}-carbonylamino)propanoic Acid Trifluoroacetate Salt

A solution of the product of Part C, above (89.0 mg, 0.0496 mmol) in 97/3 TFA/Et₃SiH (10.0 mL) was heated at 70° C. under nitrogen for 30 min and concentrated under vacuum. The resulting oily solid was purified by HPLC on a Vydac C-18 column (50×250 mm) using a 0.45%/min gradient of 4.5 to 22.5% ACN containing 0.1% TFA at a flow rate of 80 mL/min. The main product peak eluting at 19.5 min was lyophilized to give stereochemically pure title compound as a colorless fluffy solid (65.0 mg, 87.5%). MS: m/e 1385.4 [M+H].

Example 29 Alternative Synthesis of Intermediate 2-({[4-(3-{N-[2-((2R)-2-Amino-3-sulfopropyl)ethyl]carbamoyl}propoxy)-2,6-dimethylphenyl]sulfonyl}amino)(2S)-3-{[1-methyl-4-oxo-7-({[1-(triphenylmethyl)imidazol-2-yl]amino}methyl)(3-hydroquinolyl)]carbonylamino}propanoic Acid

Part A Preparation of (2S)-2-{[(4-{3-[N-(2-Aminoethyl)carbamoyl]propoxy}-2,6-dimethylphenyl)-sulfonyl]amino}-3-{[1-methyl-4-oxo-7-({[1-(triphenylmethyl)imidazol-2-yl]amino}methyl)(3-hydroquinolyl)]carbonylamino}propanoic Acid

A mixture of the product of Example 26, Part D (956 mg, 1.004 mmol), peroxide-free THF (35 mL), water (5.3 mL), and 3 N LiOH (3.53 mL, 10.6 mmol) was stirred at ambient temperatures under nitrogen for 1 h, and adjusted to pH 5–6 using 1 N HCl (10 mL). The THF was removed under vacuum causing a gummy yellow solid to precipitate. The water layer was removed by decantation and the solid was washed with water (15 mL). The solid was dried under vacuum to give the title compound as a dry yellow solid

Part B Preparation of 2-{[(4-{3-[N-(2-{(2R)-2-[(tert-Butoxy)carbonylamino]-3-sulfopropyl}ethyl)carbamoyl]-propoxy}-2,6-dimethylphenyl)sulfonyl]amino}(2S)-3-{[1-methyl-4-oxo-7-({[1-(triphenylmethyl)imidazol-2-yl]amino}methyl)(3-hydroquinolyl)]carbonylamino}propanoic Acid

A solution of Boc-L-cysteic acid (175 mg, 0.60 mmol), DIEA (0.208 mL, 1.20 mmol), and PyBOP (250 mg, 0.480 mmol) in anhydrous DMF (5.0 mL) was stirred at ambient temperatures under nitrogen for 17 min, and added to a solution of the product of Part A, above (375 mg, 0.400 mmol) and DIEA (0.070 mL, 0.400 mmol) in anhydrous DMF (4.0 mL). The resulting solution was stirred at ambient temperatures under nitrogen for 45 min and concentrated under vacuum to give an amber oil. Purification by PLC on a Vydac C-18 column (50×250 mm) using a 0.292%/min gradient of 31.5 to 43.2% ACN containing 0.1% TFA at a flow rate of 80 mL/min. The main product peak eluting at 22.0 min was lyophilized to give the title compound as a colorless solid (430 mg, 90.4%). MS: m/e 1190.3 [M+H], 948.3 [M+H-Trt].

Part C Preparation of 2-({[4-(3-{N-[2-((2R)-2-Amino-3-sulfopropyl)ethyl]carbamoyl}propoxy)-2,6-dimethylphenyl]sulfonyl}amino)(2S)-3-{[1-methyl-4-oxo-7-({[1-(triphenylmethyl)imidazol-2-yl]amino}methyl)(3-hydroquinolyl)]carbonylamino}propanoic Acid

A solution of the product of Part B, above (430 mg, 0.362 mmol) in 50/50 TFA/DCM (15 mL) was allowed to react at ambient temperatures under nitrogen for 10 min and concentrated under vacuum. The resulting amber oil was taken up in 50% ACN (50 mL) and lyophilized to give the title compound as a pale yellow solid (398 mg, 100%). MS: m/e 1090.3 [M+H], 848.2 [M+H-Trt].

Example 30 Synthesis of DOTA/2-{[(4-{3-[N-(2-{(2R)-2-[(2R)-2-(4-{N-[(1R)-1-(N-{(1R)-1-[N-(2-{4-[4-({[(1S)-1-Carboxy-2-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}carbonylamino)-1-carboxyethyl]amino}-sulfonyl)-3,5-dimethylphenoxy]butanoylamino}ethyl)-carbamoyl]-2-sulfoethyl}carbamoyl)-2-sulfoethyl]carbamoyl}(2S)-2-aminobutanoylamino)-3-sulfopropyl]-3-sulfopropyl}ethyl)carbamoyl]propoxy}-2,6-dimethylphenyl)sulfonyl]amino}(2S)-3-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}-carbonylamino)propanoic Acid Conjugate

Part A Preparation of 2-{[(4-{3-[N-(2-{(2R)-2-[(2R)-2-(4-{N-[(1R)-1-(N-{(1R)-1-[N-(2-{4-[4-({[(1S)-1-Carboxy-2-({7-[({1-(triphenylmethyl)imidazol-2-yl}amino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}carbonylamino)-1-carboxyethyl]amino}sulfonyl)-3,5-dimethylphenoxy]butanoylamino}ethyl)carbamoyl]-2-sulfoethyl}carbamoyl)-2-sulfoethyl]carbamoyl}(2S)-2-[(tert-butoxy)carbonylamino]butanoylamino)-3-sulfopropyl]-3-sulfopropyl}ethyl)carbamoyl]propoxy}-2,6-dimethylphenyl)sulfonyl]amino}(2S)-3-({7-[({1-(triphenylmethyl)imidazol-2-yl}amino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}carbonylamino)propanoic Acid

A solution of the product of the first half of Example 29, Part C (136 mg, 0.110 mmol), DIEA (0.076 mL, 0.44 mmol), and the product of Example 27, Part A (26.2 mg, 0.050 mmol) in anhydrous DMF (3.0 mL) was stirred at ambient temperatures under nitrogen for 7 h. The DMF was removed under vacuum and the viscous amber oil was purified by HPLC on a Vydac C-18 column (50×250 mm) using a 0.45%/min gradient of 27 to 45% ACN, followed by a 0.72% gradient of 45–63% ACN containing 0.1% TFA at a flow rate of 80 mL/min. The main product peak eluting at 75.2 min was lyophilized to give the title compound as a colorless solid (129 mg, 47.9%). MS: m/e 1347.3 [M+2H].

Part B Preparation of DOTA tri-t-Butyl Ester Conjugate of 2-{[(4-{3-[N-(2-{(2R)-2-[(2R)-2-(4-{N-[(1R)-1-(N-{(1R)-1-[N-(2-{4-[4-({[(1S)-1-Carboxy-2-({7-[({1-(triphenylmethyl)imidazol-2-yl}amino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}carbonylamino)-1-carboxyethyl]amino}sulfonyl)-3,5-dimethylphenoxy]butanoylamino}ethyl)carbamoyl]-2-sulfoethyl}carbamoyl)-2-sulfoethyl]carbamoyl}(2S)-2-aminobutanoylamino)-3-sulfopropyl]-3-sulfopropyl}-ethyl)carbamoyl]propoxy}-2,6-dimethylphenyl)sulfonyl]-amino}(2S)-3-({7-[({1-(triphenylmethyl)imidazol-2-yl}amino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}-carbonylamino)propanoic Acid

The product of Part A, above (34.0 mg, 0.0126 mmol) was dissolved in 50/50 TFA/DCM (12 mL) and allowed to react at ambient temperatures under nitrogen for 10 min. The solution was concentrated and the resulting amber oil was dried under vacuum.

A solution of 2-(1,4,7,10-tetraaza-4,7,10-tris(((tert-butyl)oxycarbonyl)methyl)cyclododecyl)acetic acid (23.1 mg, 0.0253 mmol), DIEA (0.020 mL, 0.115 mmol), and PyBOP (9.8 mg, 0.019 mmol) in anhydrous DMF (2.0 mL) was stirred under nitrogen at ambient temperatures for 15 min, and added to a solution of the product from the deprotection reaction, above and DIEA (0.020 mL, 0.115 mmol) in anhydrous DMF (2.0 mL). The DMF was removed under vacuum after 2 h, and the resulting residue was purified by HPLC on a Vydac C-18 column (50×250 mm) using a 0.45%/min gradient of 27 to 49.5% ACN containing 0.1% TFA at a flow rate of 80 mL/min. The main product peak eluting at 43.8 min was lyophilized to give the title compound as a colorless solid (16.0 mg, 40.4%). MS: m/e 1574.8 [M+2H], 1453.7 [M+2H-Trt], 1332.2 [M+2H-2Trt].

Part C Preparation of DOTA/2-{[(4-{3-[N-(2-{(2R)-2-[(2R)-2-(4-{N-[(1R)-1-(N-{(1R)-1-[N-(2-{4-[4-({[(1S)-1-Carboxy-2-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}carbonylamino)-1-carboxyethyl]amino}sulfonyl)-3,5-dimethylphenoxy]butanoylamino}ethyl)carbamoyl]-2-sulfoethyl}carbamoyl)-2-sulfoethyl]carbamoyl}(2S)-2-aminobutanoylamino)-3-sulfopropyl]-3-sulfopropyl}-ethyl)carbamoyl]propoxy}-2,6-dimethylphenyl)sulfonyl]-amino}(2S)-3-({7-[(imidazol-2-ylamino)methyl]-1-methyl-4-oxo(3-hydroquinolyl)}carbonylamino)propanoic Acid Conjugate

The product of Part B, above (14.0 mg, 0.00445 mmol) was dissolved in 95/5 TFA/Et₃SiH (8.0 mL) and heated at 70° C. under nitrogen for 1 h. The solution was concentrated under vacuum and the resulting yellow solid was purified by HPLC on a Vydac C-18 column (22×250 mm) using a 0.9%/min gradient of 0 to 27% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 24.5 min was lyophilized to give the title compound as a colorless solid (8.2 mg, 73.9%). MS: m/e 1247.7 [M+2H].

Example 31 Synthesis of (2S)-3-{[7-[(Imidazol-2-ylamino)methyl]-4-oxo-1-(3-{2-[1,4,7,10-tetraaza-4,7,10-tris(carboxymethyl)cyclododecyl]acetylamino}propyl)(3-hydroquinolyl)]carbonylamino}-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic Acid Tris(trifluoroacetate) Salt

Part A Preparation of (2S)-3-({7-[(Imidazol-2-ylamino)methyl]-4-oxo-1-[3-(2-{1,4,7,10-tetraaza-4,7,10-tris[(tert-butoxycarbonyl)methyl]cyclododecyl}acetylamino)-propyl](3-hydroquinolyl)}carbonylamino)-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic Acid Tris(trifluoroacetate) Salt

A solution of 2-(1,4,7,10-tetraaza-4,7,10-tris(((tert-butyl)oxycarbonyl)methyl)cyclododecyl)acetic acid (89 mg, 0.0974 mmol) (as described in Example 2, part B), DIEA (0.103 mL, 0.607 mmol), and HBTU (28.0 mg, 0.0735 mmol) in anhydrous DMF (1.0 mL) was stirred under nitrogen at ambient temperatures for 15 min and treated with a solution of the product of Example 4, Part H (30.0 mg, 0.049 mmol) in anhydrous DMF (1.0 mL). The DMF was removed under vacuum after 3 h and the residue was purified by HPLC on a Vydac C-18 column (22×250 mm) using a 1.08%/min gradient of 18 to 72% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 17.5 min was lyophilized to give the title compound as a colorless solid (48.0 mg, 65.0%). MS: m/e 1164.7 [M+H].

Part B Preparation of (2S)-3-{[7-[(Imidazol-2-ylamino)methyl]-4-oxo-1-(3-{2-[1,4,7,10-tetraaza-4,7,10-tris(carboxymethyl)cyclododecyl]acetylamino}propyl)(3-hydroquinolyl)]carbonylamino}-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic Acid Tris(trifluoroacetate) Salt

A solution of the product of Part A, above (48.0 mg, 0.0375 mmol) in 95/5 TFA/Et₃SiH (2.1 mL) was stirred at 50° C. under nitrogen for 2 h. The solution was concentrated under vacuum and the oily residue was purified by HPLC on a Vydac C-18 column (22×250 mm) using a 1.2%/min gradient of 0 to 36% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 18.6 min was lyophilized to give the title compound as a colorless solid (25.7 mg, 51.2%). MS: m/e 996.5 [M+H]; High Resolution MS: Calcd for C₄₅H₆₂N₁₁O₁₃S [M+H]: 996.4249. Found: 996.4278.

Example 32 Synthesis of 3-({1-[3-((2R)-3-Sulfo-2-{2-[1,4,7,10-tetraaza-4,7,10-tris(carboxymethyl)cyclododecyl]-acetylamino}propyl)propyl]-7-[(imidazol-2-ylamino)methyl]-4-oxo(3-hydroquinolyl)}carbonylamino)(2S)-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic Acid Bis(trifluoroacetate) Salt

Part A Preparation of 3-{[1-(3-{(2R)-2-[(tert-Butoxy)carbonylamino]-3-sulfopropyl}propyl)-7-[(imidazol-2-ylamino)methyl]-4-oxo(3-hydroquinolyl)]carbonylamino}(2S)-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic Acid

A solution of the product of Example 4, Part H (105 mg, 0.125 mmol), the N-hydroxysuccinimide ester of Boc-Cysteic acid (as described in Liebigs Ann. Chem. 1979, 776–783) (146 mg, 0.467 mmol), and DIEA (0.120 mL, 0.69 mmol) in anhydrous DMF (1.5 mL) was stirred at ambient temperatures under nitrogen for 24 h. The DMF was removed under vacuum and the resulting solid residue was purified by HPLC on a Vydac C-18 column (22×250 mm) using a 0.68%/min gradient of 9 to 36% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 30.3 min was lyophilized to give the title compound as a colorless solid (73.0 mg, 67.9%). MS: m/e 861.3 [M+H].

Part B Preparation of 3-({1-[3-((2R)-2-Amino-3-sulfopropyl)propyl]-7-[(imidazol-2-ylamino)methyl]-4-oxo(3-hydroquinolyl)}carbonylamino)(2S)-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic Acid Trifluoroacetate Salt

The product of Part B, above (70.0 mg, 0.0814 mmol) was dissolved in 2:1 DCM/TFA (1.5 mL) and allowed to react at ambient temperatures under nitrogen for 30 min. The solution was concentrated under vacuum and the amber oil was dissolved in 50% ACN (25 mL) and lyophilized to give the title compound as a colorless solid (70.8 mg, 99.5%). MS: m/e 761.2 [M+H]; High Resolution MS: Calcd for C₃₂H₄₁N₈O₁₀S₂ [M+H]: 761.2387. Found: 761.2393.

Part C Preparation of 3-[(1-{3-[(2R)-3-Sulfo-2-(2-{1,4,7,10-tetraaza-4,7,10-tris[(tert-butoxycarbonyl)-methyl]cyclododecyl}acetylamino)propyl]propyl}-7-[(imidazol-2-ylamino)methyl]-4-oxo(3-hydroquinolyl))carbonylamino](2S)-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic Acid Bis(trifluoroacetate) Salt

A solution of 2-(1,4,7,10-tetraaza-4,7,10-tris(((tert-butyl)oxycarbonyl)methyl)cyclododecyl)acetic acid (20.8 mg, 0.0228 mmol) (as described in Example 2, part B), DIEA (0.006 mL, 0.034 mmol), and HBTU (6.5 mg, 0.0171 mmol) in anhydrous DMF (0.5 mL) was stirred under nitrogen at ambient temperatures for 5 min and treated with a solution of the product of Part B, above (10.0 mg, 0.0114 mmol) and DIEA (0.006 mL, 0.034 mmol) in anhydrous DMF (0.5 mL). Stirring was continued at ambient temperatures for 24 h, and the reaction was diluted with water (3.0 mL), treated with concentrated ammonium hydroxide (0.003 mL), and stirred an additional 10 min. The solution was adjusted to pH 3 using 0.1 N HCl (6.0 mL) and diluted further with 10% ACN (5.5 mL). This solution was purified directly by HPLC on a Vydac C-18 column (22×250 mm) using a 0.68%/min gradient of 9 to 36% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 36.0 min was lyophilized to give the title compound as a colorless solid (12.0 mg, 68.3%). MS: m/e 1315.6 [M+H].

Part D Preparation of 3-({1-[3-((2R)-3-Sulfo-2-{2-[1,4,7,10-tetraaza-4,7,10-tris(carboxymethyl)cyclododecyl]-acetylamino}propyl)propyl]-7-[(imidazol-2-ylamino)methyl]-4-oxo(3-hydroquinolyl)}carbonylamino)(2S)-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic Acid Bis(trifluoroacetate) Salt

A solution of the product of Part C, above (12.0 mg, 0.00778 mmol) in 95/5 TFA/Et₃SiH (1.0 mL) was stirred at ambient temperatures under nitrogen for 18 h. The solution was concentrated under vacuum and the oily residue was purified by HPLC on a Vydac C-18 column (22×250 mm) using a 1.2%/min gradient of 0 to 36% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 21.1 min was lyophilized to give the title compound as a colorless solid (8.1 mg, 75.7%). MS: m/e 1147.3 [M+H]; High Resolution MS: Calcd for C₄₈H₆₇N₁₂O₁₇S₂ [M+H]: 1147.4189. Found: 1147.418.

Example 33 Synthesis of 3-{[1-(3-{2-[(6-{[(1E)-1-Aza-2-(2-sulfophenyl)vinyl]amino}(3-Pyridyl))carbonylamino](2R)-3-sulfopropyl}propyl)-7-[(imidazol-2-ylamino)methyl]-4-oxo(3-hydroquinolyl)]carbonylamino}(2S)-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}porpanoic Acid

A solution of the product of Example 32, Part B (10.0 mg, 0.0101 mmol), DIEA (0.007 mL, 0.040 mmol), and 2-(2-aza-2-((5-((2,5-dioxopyrrolidinyl)carbonyl)(2-pyridyl))amino)vinyl)benzenesulfonic acid (5.3 mg, 0.0120 mmol) in anhydrous DMF (0.5 mL) was allowed to stand at ambient temperatures under a nitrogen atmosphere for 48 h. Additional 2-(2-aza-2-((5-((2,5-dioxopyrrolidinyl)carbonyl)(2-pyridyl))amino)vinyl)-benzenesulfonic acid (2.0 mg, 0.00455 mmol) was added and stirring was continued an additional 48 h. The DMF was removed under vacuum and the residue was purified by HPLC on a Vydac C-18 column (22×250 mm) using a 0.9%/min gradient of 0 to 36% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 30.0 min was lyophilized to give the title compound as a colorless solid (2.5 mg, 23.3%). MS: m/e 1064.3 [M+H]; High Resolution MS: Calcd for C₄₅H₅₀N₁₁O₁₄S₃ [M+H]: 1064.27005. Found: 1064.272.

Example 34 Synthesis of 3-{[1-(3-{(2R)-2-[4-(N-{(1R)-1-[N-(3-{3-[N-((2S)-2-Carboxy-2-{[(2,4,6-trimethylphenyl)sulfonyl]-amino}ethyl)carbamoyl]-7-[(imidazol-2-ylamino)methyl]-4-oxohydroquinolyl}propyl)carbamoyl]-2-sulfoethyl}-carbamoyl)(2S)-2-{2-[1,4,7,10-tetraaza-4,7,10-tris(carboxymethyl)cyclododecyl]acetylamino}butanoylamino]-3-sulfopropyl}propyl)-7-[(imidazol-2-ylamino)methyl]-4-oxo(3-hydroquinolyl)]carbonylamino}(2S)-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic Acid Bis(trifluoroacetate) Salt

Part A Preparation of 3-{[1-(3-{(2R)-2-[4-(N-{(1R)-1-[N-(3-{3-[N-((2S)-2-Carboxy-2-{[(2,4,6-trimethylphenyl)-sulfonyl]amino}ethyl)carbamoyl]-7-[(imidazol-2-ylamino)methyl]-4-oxohydroquinolyl}propyl)carbamoyl]-2-sulfoethyl}carbamoyl)(2S)-2-[(tert-butoxy)carbonylamino]butanoylamino]-3-sulfopropyl}propyl)-7-[(imidazol-2-ylamino)methyl]-4-oxo(3-hydroquinolyl)]carbonylamino}(2S)-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic Acid

A solution of the product of Example 32, Part B (38.0 mg, 0.0434 mmol), DIEA (0.015 mL, 0.0869 mmol), and the product of Example 30, Part A (10.9 mg, 0.0202 mmol) in anhydrous DMF (1.0 mL) was stirred at ambient temperatures under nitrogen for 48 h. The DMF was removed under vacuum and the amber oil was purified by HPLC on a Vydac C-18 column (22×250 mm) using a 0.68%/min gradient of 9 to 36% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 36.1 min was lyophilized to give the title compound as a colorless solid (13.5 mg, 38.6%). MS: m/e 1732.4 [M+H], 1632.2 [M+H-Boc].

Part B Preparation of 3-{[1-(3-{(2R)-2-[4-(N-{(1R)-1-[N-(3-{3-[N-((2S)-2-Carboxy-2-{[(2,4,6-trimethylphenyl)-sulfonyl]amino}ethyl)carbamoyl]-7-[(imidazol-2-ylamino)methyl]-4-oxohydroquinolyl}propyl)carbamoyl]-2-sulfoethyl}carbamoyl)(2S)-2-aminobutanoylamino]-3-sulfopropyl}propyl)-7-[(imidazol-2-ylamino)methyl]-4-oxo(3-hydroquinolyl)]carbonylamino}(2S)-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic Acid Trifluoroacetate Salt

The product of Part A, above (13.5 mg, 0.00779 mmol) was dissolved in 50/50 TFA/DCM (1.0 mL) and allowed to react at ambient temperatures under nitrogen for 45 min. The solution was concentrated under vacuum to give the title compound as a pale amber oil. MS: m/e 1633.3 [M+H].

Part C Preparation of 3-{[1-(3-{(2R)-2-[4-(N-{(1R)-1-[N-(3-{3-[N-((2S)-2-Carboxy-2-{[(2,4,6-trimethylphenyl)-sulfonyl]amino}ethyl)carbamoyl]-7-[(imidazol-2-ylamino)methyl]-4-oxohydroquinolyl}propyl)carbamoyl]-2-sulfoethyl}carbamoyl)(2S)-2-{2-[1,4,7,10-tetraaza-4,7,10-tris[(tert-butoxycarbonyl)methyl]cyclododecyl]acetylamino}-butanoylamino]-3-sulfopropyl}propyl)-7-[(imidazol-2-ylamino)methyl]-4-oxo(3-hydroquinolyl)]carbonylamino}-(2S)-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic Acid Bis(trifluoroacetate) Salt

A solution of 2-(1,4,7,10-tetraaza-4,7,10-tris(((tert-butyl)oxycarbonyl)methyl)cyclododecyl)acetic acid (15.0 mg, 0.0164 mmol) (as described in Example 2, part B), DIEA (0.004 mL), and HBTU (4.7 mg, 0.0124 mmol) in anhydrous DMF (0.5 mL) was stirred under nitrogen at ambient temperatures for 8 min and treated with a solution of the product of Part B, above (0.00779 mmol) and DIEA (0.004 mL) in anhydrous DMF (0.5 mL). The solution was stirred at ambient temperatures for 24 h, treated with 0.1 N NaOH (0.33 mL), stirred an additional 5 min, and adjusted to pH 3 with 0.1 N HCl (0.60 mL). This solution was diluted with water (4.5 mL) and purified directly by HPLC on a Vydac C-18 column (22×250 mm) using a 1.01%/min gradient of 9 to 49.5% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 26.7 min was lyophilized to give the title compound as a colorless solid (7.0 mg, 37.2%). MS: m/e 1094.4 [M+2H]; High Resolution MS: Calcd for C₉₇H₁₃₆N₂₁O₂₉S₄ [M+H]: 2186.8696. Found: 2186.867.

Part D Preparation of 3-{[1-(3-{(2R)-2-[4-(N-{(1R)-1-[N-(3-{3-[N-((2S)-2-Carboxy-2-{[(2,4,6-trimethylphenyl)-sulfonyl]amino}ethyl)carbamoyl]-7-[(imidazol-2-ylamino)methyl]-4-oxohydroquinolyl}propyl)carbamoyl]-2-sulfoethyl}carbamoyl)(2S)-2-{2-[1,4,7,10-tetraaza-4,7,10-tris(carboxymethyl)cyclododecyl]acetylamino}butanoylamino]-3-sulfopropyl}propyl)-7-[(imidazol-2-ylamino)methyl]-4-oxo(3-hydroquinolyl)]carbonylamino}(2S)-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic Acid Bis(trifluoroacetate) Salt

A solution of the product of Step C, above (7.0 mg, 0.00290 mmol) in 95/5 TFA/Et₃SiH (1.0 mL) was heated to reflux under nitrogen for 3 h. The solution was concentrated under vacuum and the oily residue was purified by HPLC on a Vydac C-18 column (22×250 mm) using a 1.2%/min gradient of 0 to 36% ACN containing 0.1% TFA at a flow rate of 20 mL/min. The main product peak eluting at 26.5 min was lyophilized to give the title compound as a colorless solid (4.5 mg, 66.1%). High Resolution MS: Calcd for C₈₅H₁₁₂N₂₁O₂₉S₄ [M+H]: 2018.6818. Found: 2018.683.

Example 35 Synthesis of the In-111 Complex of the Conjugate Example 26

To a shielded and crimped 2 cc autosampler vial was added 70 μg of the conjugate of Example 26 dissolved in 140 μl 0.5 M ammonium acetate buffer (pH 4.8) followed by the addition of 2 mg gentisic acid sodium salt and 2.6 mCi (7 μl) In-111 in 0.05M HCl. The reaction mixture (specific activity was heated at 85° C. for 20 minutes and analyzed by HPLC. Yield: 87.9% (total for the two isomers); Ret. Time: 12.5, 13.1 min.

HPLC Method

-   Column: Zorbax Rx C18, 25 cm×4.6 mm -   Column Temperature: Ambient -   Flow: 1.0 ml/min -   Solvent A: 10 mM ammonium acetate -   Solvent B: Acetonitrile -   Detector: IN-US β-ram, and UV at 220 nm wavelength.     Gradient

t (min) 0 25 26 35 36 45 % B 7  7 60 60  7  7

Example 36 Synthesis of the In-111 Complex of the Conjugate Example 27

To a lead shielded and crimped 2 cc autosampler vial was added 120 μg of the conjugate of Example 27 dissolved in 240 μL ammonium acetate buffer (0.5 M, pH 4.7) followed by the addition of 2 mg of gentisic acid (sodium salt) dissolved in 20 μL of H₂O, and 2.3 mCi, (10 μL) In-111 (NEN) in 0.05 N HCl (specific activity: 52 μg/mCi). The reaction mixture was heated at 100° C. for 20 min and analyzed by HPLC. Yield: 94.7% (total for the two isomers), Ret. Time: 16.6 and 17.3 min.

HPLC Method

-   Column: Zorbax Rx C18, 25 cm×4.6 mm -   Column Temperature: Ambient -   Flow: 1.0 ml/min -   Solvent A: 10 mM ammonium acetate -   Solvent B: Acetonitrile -   Detector: IN-US β-ram, and UV at 220 nm wavelength.     Gradient

t (min)  0 25 26 35 36 45 % B 10 15 60 60 10 10

Example 37 Synthesis of the In-111 Complex of the Conjugate Example 28

To a shielded and crimped 2 cc autosampler vial was added 70 μg of the conjugate of Example 28 dissolved in 140 μl 0.5 M ammonium acetate buffer (pH 4.8) followed by the addition of 2 mg gentisic acid sodium salt and 2.6 mCi (7 μl) In-111 in 0.05M HCl. The reaction mixture (specific activity was heated at 85° C. for 20 minutes and analyzed by HPLC. Yield: 92.2%; Ret. Time: 12.9 min.

HPLC Method

-   Column: Zorbax Rx C18, 25 cm×4.6 mm -   Column Temperature: Ambient -   Flow: 1.0 ml/min -   Solvent A: 10 mM ammonium acetate -   Solvent B: Acetonitrile -   Detector: IN-US β-ram, and UV at 220 nm wavelength.     Gradient

t (min) 0 25 26 35 36 45 % B 7  7 60 60  7  7

Example 38 Synthesis of the In-111 Complex of the Conjugate Example 30

To a shielded and crimped 2 cc autosampler vial was added 107 μg of the conjugate of Example 30 dissolved in 140 μl 0.5 M ammonium acetate buffer (pH 4.8) followed by the addition of 2 mg gentisic acid sodium salt and 2.6 mCi (7 μl ) In-111 in 0.05M HCl. The reaction mixture (specific activity was heated at 85° C. for 20 minutes and analyzed by HPLC. Yield: 77.9%; Ret. Time: 17.8 min.

HPLC Method

-   Column: Zorbax Rx C18, 25 cm×4.6 mm -   Column Temperature: Ambient -   Flow: 1.0 ml/min -   Solvent A: 10 mM ammonium acetate -   Solvent B: Acetonitrile -   Detector: IN-US β-ram, and UV at 220 nm wavelength.     Gradient

t (min) 0 25 26 35 36 45 % B 9 11 60 60  9  9

Example 39 Synthesis of the In-111 Complex of the Conjugate Example 31

To a lead shielded and crimped autosampler vial was added 25 μg of the conjugate of Example 31 and 1.0 mg gentisic acid, sodium salt dissolved in 50 μL ammonium acetate buffer (0.4 M, pH 4.7) followed by the addition of 1.2 mCi, (5 μL) In-111 in 0.05 N HCl (specific activity: 21 μg/mCi). The reaction mixture was heated at 80° C. for 45 min and analyzed by HPLC and ITLC. 93.5% yield by HPLC, Ret. Time: 16.7 min.

HPLC Method

-   Column: Zorbax Rx C18, 25 cm×4.6 mm -   Column Temperature: Ambient -   Flow: 1.0 ml/min -   Solvent A: 25 mM sodium phosphate buffer at pH 6 -   Solvent B: Acetonitrile -   Detector: Sodium iodide (NaI) radiometric probe, and UV at 220 nm     wavelength.     Gradient

t (min)  0 25 26 35 36 45 % B 10 20 60 60 10 10

Example 40 Synthesis of the In-111 Complex of the Conjugate Example 32

To a lead shielded and crimped 1 cc autosampler vial was added 40–50 μg of the conjugate of Example 32 dissolved in 100 μL ammonium citrate buffer (0.4 M, pH 4.7) followed by the addition of 2 mCi, (5 μL) In-111 in 0.05 N HCl (specific activity: 25 μg/mCi). The reaction mixture was heated at 90–100 C for 30 min and analyzed by HPLC. Yield: 95%; Ret. Time 12.5 min.

HPLC Method

-   Column: Zorbax Rx C18, 25 cm×4.6 mm -   Column Temperature: Ambient -   Flow: 1.0 ml/min -   Solvent A: 25 mM sodium phosphate buffer at pH 6 -   Solvent B: Acetonitrile -   Detector: Sodium iodide (NaI) radiometric probe, and UV at 220 nm     wavelength.     Gradient

t (min)  0 25 26 35 36 45 % B 10 20 60 60 10 10

Example 41 Synthesis of the In-111 Complex of the Conjugate Example 34

To a lead shielded and crimped 2 cc autosampler vial was added 150 μg of the conjugate of Example 34 dissolved in 300 μL ammonium citrate buffer (0.3 M, pH 4.8) followed by the addition of 4.5 mCi, (25 μL) In-111 (NEN) in 0.05 N HCl (specific activity: 33 μg/mCi). The reaction mixture was heated at 100° C. for 20 min and analyzed by HPLC. RCP: 80%, Ret. Time: 21 min.

HPLC Method

-   Column: Zorbax Rx C18, 25 cm×4.6 mm -   Column Temperature: Ambient -   Flow: 1.0 ml/min -   Solvent A: 25 nM sodium phosphate buffer at pH 6 -   Solvent B: Acetonitrile -   Detector: Sodium iodide (NaI) radiometric probe, and UV at 220 nm     wavelength.     Gradient

t (min)  0 25 26 35 36 45 % B 17 19 60 60 17 17

Example 42 Synthesis of ^(99m)Tc(3-{[1-(3-{2-[(6-(diazenido)(3-pyridyl))carbonylamino](2R)-3-sulfopropyl}propyl)-7-[(imidazol-2-ylamino)methyl]-4-oxo(3-hydroquinolyl)]carbonylamino}(2S)-2-{[(2,4,6-trimethylphenyl)sulfonyl]amino}propanoic acid)(tricine)(TPPTS)

To a lyophilized vial containing 4.84 mg TPPTS, 6.3 mg tricine, 40 mg mannitol, succinic acid buffer, pH 4.8, and 0.1% Pluronic F-64 surfactant, was added 1.1 mL sterile water for injection, 0.2 mL (20 μg) of the conjugate of Example 33 in deionized water or 50% aqueous ethanol, and 0.2 mL of ^(99m)TcO₄ ⁻ (50±5 mCi) in saline. The reconstituted kit was heated in a 100° C. water bath for 15 minutes, and was allowed to cool 10 minutes at room temperature. A sample of the reaction mixture was analyzed by HPLC. The yield was 89.0% and the retention time 12.8, 13.2 min (2 isomers).

HPLC Method

-   Column: Zorbax C18, 25 cm×4.6 mm -   Flow rate : 1.0 mL/min -   Solvent A: 10 mM sodium phosphate buffer, pH 6.0 -   Solvent B : 100% CH3CN -   Gradient 0–25% B over 20 min.

Example 43

The compound of Example 24, 36–40 or 41 is administered to a human at a level of ˜1–10 mCi of ¹¹¹In before, together with, or after the administration of a ^(99m)Tc cardiac perfusion imaging agent (e.g., 10–40 mCi of ^(99m)Tc-Sestamibi). Approximately 0.5 to 6 hours following injection, the ¹¹¹In-labeled vitronectin receptor targeted diagnostic radiopharmaceutical is localized in the areas of endothelial damage, vulnerable plaque or angiogenesis in the heart and the ^(99m)Tc-Sestamibi perfusion agent is distributed in the myocardium in relation to regional myocardial blood flow. The simultaneous imaging of the In-111 labeled vitronectin antagonist compound and the Tc99m cardiac perfusion agent is carried out by a method such as that reported by White (White, S A, Mueller, D H, Smith H E, et al. J Nucl Med Tech 1984, 12: 124–125) or Hillel (Hillel P G, Tindale W B, Taylor C J, et al. Nucl Med Commun 1998, 19, 761–769). The images are displayed side-by-side or are overlayed to facilitate interpretation of the ¹¹¹In-vitronectin antagonist localization in the heart in relation to the ^(99m)Tc perfusion agent distribution in the heart.

Example 44

An ultrasound imaging agent composition of the present invention is administered to a human at a level of ˜5–30 μL perfluoropropane/kg body weight before, together with, or after the administration of a ^(99m)Tc cardiac perfusion imaging agent (e.g., 10–40 mCi of ^(99m)Tc-Sestamibi). The ultrasound imaging composition can be administered either as 1–2 bolus injections or infused at 3–5 μL/kg/min. The ultrasound imaging is performed using standard techniques over the next 5–10 minutes to visualize areas of endothelial damage, vulnerable plaque or angiogenesis in the heart. The ultrasound images can be obtained either simultaneously with or just prior to the nuclear perfusion image of the ^(99m)Tc cardiac perfusion imaging agent that is distributed in the myocardium in relation to regional myocardial blood flow.

Example 45

An X-ray contrast agent of the present invention is administered to a human at a level of ˜0.5–1.5 mmol/kg body weight before, together with, or after the administration of a ^(99m)Tc cardiac perfusion imaging agent (e.g., 10–40 mCi of ^(99m)Tc-Sestamibi). The X-ray computed tomography is performed using standard techniques over the next 5–10 minutes to visualize areas of endothelial damage, vulnerable plaque or angiogenesis in the heart. The CT images can be obtained either just prior to or just after the nuclear perfusion image of the ^(99m)Tc cardiac perfusion imaging agent that is distributed in the myocardium in relation to regional myocardial blood flow. The design of a dual modality CT/SPECT instrument is described in J. Nuc. Med., 2001, 42, No. 5, 200P (Abstract 860).

Example 46

The NMR contrast agent of Example 25 is administered to a human at a level of ˜0.1–1.0 mmol/kg body weight before, together with, or after the administration of a ^(99m)Tc cardiac perfusion imaging agent (e.g., 10–40 mCi of ^(99m)Tc-Sestamibi). The magnetic resonance imaging is performed using standard techniques over the next 5–10 minutes to visualize areas of endothelial damage, vulnerable plaque or angiogenesis in the heart. The MRI images can be obtained either just prior to or just after the nuclear perfusion image of the ^(99m)Tc cardiac perfusion imaging agent that is distributed in the myocardium in relation to regional myocardial blood flow.

Utility

The pharmaceuticals of the present invention are useful for imaging angiogenic tumor vasculature, therapeutic cardiovascular angiogenesis, and cardiac pathologies associated with the expression of vitronectin receptors in a patient or for treating cancer in a patient. The radiopharmaceuticals of the present invention comprised of a gamma ray or positron emitting isotope are useful for imaging of pathological processes involving angiogenic neovasculature, including cancer, diabetic retinopathy, macular degeneration, restenosis of blood vessels after angioplasty, and wound healing, as well as atherosclerotic plaque, myocardial reperfusion injury, and myocardial ischemia, stunning or infarction

The compounds of the present invention comprised of one or more paramagnetic metal ions selected from gadolinium, dysprosium, iron, and manganese, are useful as contrast agents for magnetic resonance imaging (MRI) of pathological processes involving angiogenic neovasculature, as well as atherosclerotic plaque, myocardial reperfusion injury, and myocardial ischemia, stunning or infarction.

The compounds of the present invention comprised of one or more heavy atoms with atomic number of 20 or greater are useful as X-ray contrast agents for X-ray imaging of pathological processes involving angiogenic neovasculature, as well as atherosclerotic plaque, myocardial reperfusion injury, and myocardial ischemia, stunning or infarction.

The compounds of the present invention comprised of an echogenic gas containing surfactant microsphere are useful as ultrasound contrast agents for sonography of pathological processes involving angiogenic neovasculature, as well as atherosclerotic plaque, myocardial reperfusion injury, and myocardial ischemia, stunning or infarction.

Representative compounds of the present invention were tested in the following in vitro assays and in vivo models and were found to be active.

Immobilized Human Placental avb3 Receptor Assay

The assay conditions were developed and validated using [I-125]vitronectin. Assay validation included Scatchard format analysis (n=3) where receptor number (Bmax) and Kd (affinity) were determined. Assay format is such that compounds are preliminarily screened at 10 and 100 nM final concentrations prior to IC50 determination. Three standards (vitronectin, anti-avB3 antibody, LM609, and anti-avB5, P1F6) and five reference peptides have been evaluated for IC50 determination. Briefly, the method involves immobilizing previously isolated receptors in 96 well plates and incubating overnight. The receptors were isolated from normal, fresh, non-infectious (HIV, hepatitis B and C, syphilis, and HTLV free) human placenta. The tissue was lysed and tissue debris removed via centrifugation. The lysate was filtered. The receptors were isolated by affinity chromatography using the immobilized avb3 antibody. The plates are then washed 3× with wash buffer. Blocking buffer is added and plates incubated for 120 minutes at room temperature. During this time compounds to be tested and [I-125]vitronectin are premixed in a reservoir plate. Blocking buffer is removed and compound mixture pipetted. Competition is carried out for 60 minutes at room temperature. Unbound material is then removed and wells are separated and counted via gamma scintillation.

Oncomouse® Imaging

The study involves the use of the c-Neu Oncomouse® and FVB mice simultaneously as controls. The mice are anesthetized with sodium pentobarbital and injected with approximately 0.5 mCi of radiopharmaceutical. Prior to injection, the tumor locations on each Oncomouse® are recorded and tumor size measured using calipers. The animals are positioned on the camera head so as to image the anterior or posterior of the animals. 5 Minute dynamic images are acquired serially over 2 hours using a 256×256 matrix and a zoom of 2×. Upon completion of the study, the images are evaluated by circumscribing the tumor as the target region of interest (ROI) and a background site in the neck area below the carotid salivary glands.

This model can also be used to assess the effectiveness of the radiopharmaceuticals of the present invention comprised of a beta, alpha or Auger electron emitting isotope. The radiopharmaceuticals are administered in appropriate amounts and the uptake in the tumors can be quantified either non-invasively by imaging for those isotopes with a coincident imageable gamma emission, or by excision of the tumors and counting the amount of radioactivity present by standard techniques. The therapeutic effect of the radiopharmaceuticals can be assessed by monitoring the rate of growth of the tumors in control mice versus those in the mice administered the radiopharmaceuticals of the present invention.

This model can also be used to assess the compounds of the present invention comprised of paramagnetic metals as MRI contrast agents. After administration of the appropriate amount of the paramagnetic compounds, the whole animal can be placed in a commercially available magnetic resonance imager to image the tumors. The effectiveness of the contrast agents can be readily seen by comparison to the images obtain from animals that are not administered a contrast agent.

This model can also be used to assess the compounds of the present invention comprised of heavy atoms as X-ray contrast agents. After administration of the appropriate amount of the X-ray absorbing compounds, the whole animal can be placed in a commercially available X-ray imager to image the tumors. The effectiveness of the contrast agents can be readily seen by comparison to the images obtain from animals that are not administered a contrast agent.

This model can also be used to assess the compounds of the present invention comprised of an echogenic gas containing surfactant microsphere as ultrasound contrast agents. After administration of the appropriate amount of the echogenic compounds, the tumors in the animal can be imaging using an ultrasound probe held proximate to the tumors. The effectiveness of the contrast agents can be readily seen by comparison to the images obtain from animals that are not administered a contrast agent.

Rabbit Matrigel Model

This model was adapted from a matrigel model intended for the study of angiogenesis in mice. Matrigel (Becton & Dickinson, USA) is a basement membrane rich in laminin, collagen IV, entactin, HSPG and other growth factors. When combined with growth factors such as bFGF [500 ng/ml] or VEGF [2 μg/ml] and injected subcutaneously into the mid-abdominal region of the mice, it solidifies into a gel and stimulates angiogenesis at the site of injection within 4–8 days. In the rabbit model, New Zealand White rabbits (2.5–3.0 kg) are injected with 2.0 ml of matrigel, plus 1 μg bFGF and 4 μg VEGF. The radiopharmaceutical is then injected 7 days later and the images obtained.

This model can also be used to assess the effectiveness of the radiopharmaceuticals of the present invention comprised of a beta, alpha or Auger electron emitting isotope. The radiopharmaceuticals are administered in appropriate amounts and the uptake at the angiogenic sites can be quantified either non-invasively by imaging for those isotopes with a coincident imageable gamma emission, or by excision of the angiogenic sites and counting the amount of radioactivity present by standard techniques. The therapeutic effect of the radiopharmaceuticals can be assessed by monitoring the rate of growth of the angiogenic sites in control rabbits versus those in the rabbits administered the radiopharmaceuticals of the present invention.

This model can also be used to assess the compounds of the present invention comprised of paramagnetic metals as MRI contrast agents. After administration of the appropriate amount of the paramagnetic compounds, the whole animal can be placed in a commercially available magnetic resonance imager to image the angiogenic sites. The effectiveness of the contrast agents can be readily seen by comparison to the images obtain from animals that are not administered a contrast agent.

This model can also be used to assess the compounds of the present invention comprised of heavy atoms as X-ray contrast agents. After administration of the appropriate amount of the X-ray absorbing compounds, the whole animal can be placed in a commercially available X-ray imager to image the angiogenic sites. The effectiveness of the contrast agents can be readily seen by comparison to the images obtain from animals that are not administered a contrast agent.

This model can also be used to assess the compounds of the present invention comprised of an echogenic gas containing surfactant microsphere as ultrasound contrast agents. After administration of the appropriate amount of the echogenic compounds, the angiogenic sites in the animal can be imaging using an ultrasound probe held proximate to the tumors. The effectiveness of the contrast agents can be readily seen by comparison to the images obtain from animals that are not administered a contrast agent.

Canine Spontaneous Tumor Model

Adult dogs with spontaneous mammary tumors were sedated with xylazine (20 mg/kg)/atropine (1 ml/kg). Upon sedation the animals were intubated using ketamine (5 mg/kg)/diazepam (0.25 mg/kg) for full anethesia. Chemical restraint was continued with ketamine (3 mg/kg)/xylazine (6 mg/kg) titrating as necessary. If required the animals were ventilated with room air via an endotrachael tube (12 strokes/min, 25 ml/kg) during the study. Peripheral veins were catheterized using 20G I.V. catheters, one to serve as an infusion port for compound while the other for exfusion of blood samples. Heart rate and EKG were monitored using a cardiotachometer (Biotech, Grass Quincy, Mass.) triggered from a lead II electrocardiogram generated by limb leads. Blood samples are generally taken at ˜10 minutes (control), end of infusion, (1 minute), 15 min, 30 min, 60 min, 90 min, and 120 min for whole blood cell number and counting. Radiopharmaceutical dose was 300 μCi/kg administered as an i.v. bolus with saline flush. Parameters were monitored continuously on a polygraph recorder (Model 7E Grass) at a paper speed of 10 mm/min or 10 mm/sec.

Imaging of the laterals were for 2 hours with a 256×256 matrix, no zoom, 5 minute dynamic images. A known source is placed in the image field (20–90 μCi) to evaluate region of interest (ROI) uptake. Images were also acquired 24 hours post injection to determine retention of the compound in the tumor. The uptake is determined by taking the fraction of the total counts in an inscribed area for ROI/source and multiplying the known μCi. The result is μCi for the ROI.

This model can also be used to assess the effectiveness of the radiopharmaceuticals of the present invention comprised of a beta, alpha or Auger electron emitting isotope. The radiopharmaceuticals are administered in appropriate amounts and the uptake in the tumors can be quantified either non-invasively by imaging for those isotopes with a coincident imageable gamma emission, or by excision of the tumors and counting the amount of radioactivity present by standard techniques. The therapeutic effect of the radiopharmaceuticals can be assessed by monitoring the size of the tumors over time. This model can also be used to assess the compounds of the present invention comprised of paramagnetic metals as MRI contrast agents. After administration of the appropriate amount of the paramagnetic compounds, the whole animal can be placed in a commercially available magnetic resonance imager to image the tumors. The effectiveness of the contrast agents can be readily seen by comparison to the images obtain from animals that are not administered a contrast agent.

This model can also be used to assess the compounds of the present invention comprised of heavy atoms as X-ray contrast agents. After administration of the appropriate amount of the X-ray absorbing compounds, the whole animal can be placed in a commercially available X-ray imager to image the tumors. The effectiveness of the contrast agents can be readily seen by comparison to the images obtain from animals that are not administered a contrast agent.

This model can also be used to assess the compounds of the present invention comprised of an echogenic gas containing surfactant microsphere as ultrasound contrast agents. After administration of the appropriate amount of the echogenic compounds, the tumors in the animal can be imaging using an ultrasound probe held proximate to the tumors. The effectiveness of the contrast agents can be readily seen by comparison to the images obtain from animals that are not administered a contrast agent.

Cardiovascular disease models that can be used to assess the diagnostic radiopharmaceuticals, magnetic resonance, X-ray and ultrasound contrast agents of the present invention are reviewed in J. Nucl. Cardiol., 1998, 5, 167–83. There are several well established rabbit models of atherosclerosis; one model produces predominantly proliferating smooth muscle cells by balloon deendothelialization of infradiaphragmatic abdominal aorta to simulate restenotic lesions; another model that produces simulated advanced human atherosclerotic plaque by balloon deendothelialization followed by a high cholesterol diet.

A model of congestive heart failure is described in Am. J. Physiol., 1998, 274, H1516-23. In general, Yorkshire pigs are randomly assigned to undergo 3 wks of rapid atrial pacing at 240 beats/min. or to be sham controls. The pigs are chronically instrumented to measure left ventricular function in the conscious state. The pigs are anesthetized.

A shielded stimulating electrode is sutured onto the left atrium, connected to a modified programmable pace maker and buried in a subcutaneous pocket. The pericardium is closed loosely, the thoracotomy is closed, and the pleural space is evacuated of air. After a recovery period of 7–10 days, the pacemaker is activated in the animals selected to undergo chronic rapid pacing. The animals are sedated, the pacemaker is deactivated (pacing groups only. After a 30 min stabilization period, indexes of LV function and geometry are determined (by echocardiography as a control) by injecting the radiolabeled compound. For biodistribution, the animals are anesthetized, the heart extirpate and the LV apex and midventricular regions are evaluated.

A rat model of reversible coronary occlusion and reperfusion is described in McNulty et al., J. Am. Physiol., 1996, H2283-9.

All publications, patents, patent applications, and patent documents are incorporated by reference herein, as though individually incorporated by reference. The invention has been described with reference to various specific and preferred embodiments and techniques. However, it should be understood that many variations and modifications may be made while remaining within the spirit and scope of the invention.

Obviously, numerous modifications and variations of the present invention are possible in light of the above teachings. It is therefore to be understood that within the scope of the appended claims, the invention may be practiced otherwise that as specifically described herein. 

1. A method of concurrent imaging of organ blood flow and vitronectin receptors sites in a mammal comprising: I) administering to said mammal a vitronectin receptor targeted imaging agent and a perfusion imaging agent; and II) concurrently detecting the vitronectin receptor targeted imaging agent bound at the vitronectin receptor and the perfusion imaging agent; and III) forming an image from the detection of said vitronectin targeted imaging agent and said perfusion imaging agent; wherein the vitronectin receptor targeted imaging agent is a diagnostic metallopharmaceutical comprising ¹¹¹In, and a compound comprising: a) a chelator which is DOTA (1,4,7,10-tetraaza-4,7,10-tris(carboxymethyl)cyclododecane); and b) a targeting moiety which is bound to the chelator and is (2S)-2-[({2,6-dimethyl-4-(4-butoxyoyl)phenyl}sulfonyl)amino]-3-({7-[(imidazol-2-ylamino)methyl)]-1-methyl-4-oxo(3-hydroquinolyl)}-carbonylamino) propanoic acid; and c) a linking group between the targeting moiety and the chelator, which is 2-(2-aminoethylcarbonyl)-2-(2-amino-3-sulfo-propanoylamino)-ethanesulfonic acid; and wherein the perfusion imaging agent is ^(99m)Tc sestamibi.
 2. The method of claim 1, wherein the images are displayed side-by-side to facilitate interpretation of the localization of the vitronectin targeted imaging in the body, relative to the distribution of the perfusion agent in the body.
 3. The method of claim 1, wherein the images are overlayed to facilitate interpretation of the localization of the vitronectin targeted imaging in the body, relative to the distribution of the perfusion agent in the body.
 4. The method of claim 1, for use in concurrent imaging sites of angiogenesis and organ perfusion.
 5. The method of claim 1, for use in diagnosing and localizing sites of angiogenesis and perfusion abnormalities.
 6. The method of claim 1, for use in concurrent detection and localization of sites of endothelial damage and perfusion abnormalities.
 7. The method of claim 1, for use in the concurrent detection and localization of sites of vulnerable plaque and perfusion abnormalities.
 8. The method of claim 1, wherein administering the vitronectin targeted imaging agent and a perfusion imaging agent is concurrent.
 9. The method of claim 1, wherein administering the vitronectin targeted imaging agent and a perfusion imaging agent is sequential.
 10. The method of claim 1, wherein the vitronectin targeted imaging agent and a perfusion imaging agent are administered in a synergistically effective amount.
 11. The method of claim 1, wherein the gamma-emission energies of the vitronectin targeted imaging agent and the perfusion imaging agent are spectrally separable by pulse-height analysis.
 12. The method of claim 1, wherein the difference in gamma emission spectral energies of the vitronectin antagonist diagnostic metallopharmaceutical and the perfusion imaging agent is >10 Kev.
 13. The method of claim 1, wherein the concurrent detection of the vitronectin receptor targeted imaging agent bound at the vitronectin receptor and the perfusion imaging agent, is by dual isotope imaging. 